小切口劈核法与超声乳化白内障摘除术治疗老年性硬核性白内障的疗效比较

发布时间：2019-06-05 21:37

【摘要】：目的:比较小切口劈核法与超声乳化白内障摘除术治疗老年性硬核性白内障的疗效。方法:选择70例(78眼)老年性硬核性白内障患者为研究对象,采用随机数字表法分为观察组和对照组各35例(39眼)。对照组患者接受超声乳化白内障摘除术,观察组患者接受小切口劈核法白内障摘除术。比较2组患者的视力水平、散光程度、不良反应、生活质量。结果:2组患者术前视力水平差异无统计学意义(P0.05);术后2组患者视力水平较术前均显著改善(P0.01),观察组患者术后4周和8周视力水平均高于对照组(P0.01和P0.05)。术前2组散光度差异无统计学意义(P0.05);2组患者散光度术后1周均明显升高,8周后均呈下降趋势(P0.01和P0.05);术后同时期2组散光度差异均无统计学意义(P0.05)。观察组不良反应发生率为25.64%,低于对照组的48.72%(P0.05);2组患者术后的生活质量评分差异无统计学意义(P0.05)。结论:综合考虑视力水平、散光程度、生活质量以及术后并发症情况,小切口劈核法白内障摘除术可作为基层医院治疗老年性硬核白内障的方法。
[Abstract]:Objective: to compare the efficacy of small incision nucleus splicing and phacoemulsification in the treatment of elderly hard nucleus cataract. Methods: 70 patients (78 eyes) with senile hard nucleus cataract were randomly divided into observation group (n = 35) and control group (n = 39). The patients in the control group were treated with phacoemulsification and the patients in the observation group were treated with small incision nucleus split cataract extraction. The visual acuity, astigmatism, adverse reactions and quality of life were compared between the two groups. Results: there was no significant difference in preoperative visual acuity between the two groups (P 0.05). The visual acuity level of the two groups was significantly improved compared with that before operation (P 0.01), and the visual acuity level of the observation group was higher than that of the control group at 4 and 8 weeks after operation (P 0.01 and P 0.05). There was no significant difference in astigmatism between the two groups before operation (P 0.05), but increased significantly in both groups one week after operation, and decreased after 8 weeks (P 0.01 and P 0.05). There was no significant difference in astigmatism between the two groups at the same time after operation (P 0.05). The incidence of adverse reactions in the observation group was 25.64%, which was lower than that in the control group (48.72%, P 0.05), but there was no significant difference in the quality of life score between the two groups (P 0.05). Conclusion: considering the level of visual acuity, the degree of astigmatism, the quality of life and the postoperative complications, small incision nucleus split cataract extraction can be used as a method for the treatment of senile hard nucleus cataract in grass-roots hospitals.
【作者单位】：广东省深圳市龙岗中心医院耳鼻咽喉医院广东省深圳市耳鼻咽喉研究所眼科;
【基金】：深圳市重点实验室项目(ZDSYS 201506050935272)
【分类号】：R779.66

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