中国医院内的白内障超声乳化术术中虹膜松弛综合征的发生观察

发布时间：2018-01-10 05:10

本文关键词：中国医院内的白内障超声乳化术术中虹膜松弛综合征的发生观察　出处：《浙江大学》2014年硕士论文　论文类型：学位论文

【摘要】：目的：观察中国人中虹膜松弛综合征(IFIS)在白内障超声乳化手术中的发生率,并发症和手术效果。探索新的IFIS的危险因素。讨论散瞳后瞳孔直径(PD)能否作为IFIS的预测因素。设计：前瞻性、观察性病例分析方法：为单中心研究,收录了进行白内障手术的807个汉族人(1068例手术)。记录服药史,散瞳前后的瞳孔直径,IFIS的表现和处理方法。进行术后一周的随访。结果：1068例中的34例(3.18%)发生了IFIS.根据回归分析,可以作为IFIS的危险因素的参数包括：非那西丁(OR=5.9,95%CI,1.6-21.3),坦洛新(OR=21.6,CI,4.0-115.7),利血平(OR=12.9,CI,2.6-64.2),氯氮平(OR=129.5,CI,11.1-1.5E3)和全视网膜光凝术后(OR=10.8,CI,1.2-95.2)。微切口和小切口白内障手术的IFIS发生率相似(P=0.318)。散瞳后瞳孔直径小的患者更容易发生IFIS (P0.001),特别是PD7.25mm的。未发生IFIS的患者并发症更少,手术的效果比发生IFIS的患者略好。结论：中国医院中IFIS的发生率为3.18%。我们发现了3个新的IFIS的危险因素：利血平。氯氮平和全视网膜光凝术后。散瞳困难可以预测IFIS的发生。切口的大小与IFIS的发生无关。恰当的方法可以有效控制IFIS的发展并确保较好的预后。
[Abstract]:Objective: to observe the incidence of iridorelaxation syndrome (IFIS) in cataract phacoemulsification in Chinese. Complications and surgical outcomes. To explore new risk factors for IFIS. To discuss whether pupil diameter after pupil dilation can be used as a predictor of IFIS. Design: prospective, observational case analysis Methods: a single-center study was conducted in 807 Han patients undergoing cataract surgery. The history of medication and pupil diameter before and after mydriasis were recorded. The appearance and treatment of IFIS were followed up one week after operation. Results IFIs were found in 34 out of 1068 cases. According to regression analysis, the parameters that could be used as a risk factor for IFIS were: phenacetin OR5.9. There are 1.6-21.3C, 21.6C, 2.6-64.2). Clozapine (129.5%) and complete retinal photocoagulation (OR10.8 CI). 1.2-95.20.The incidence of IFIS in microincision and small-incision cataract surgery was similar (P = 0.318). Patients with small pupil diameter after pupil dilation were more likely to develop IFIS (. P0.001). Especially in PD7.25mm, the patients without IFIS had fewer complications, and the effect of operation was better than that of IFIS. Conclusion: the incidence of IFIS in Chinese hospitals is 3.18. We found three new risk factors for IFIS:. Reserpine, clozapine and total retinal photocoagulation. Mydriasis difficulty can predict the occurrence of IFIS. The size of incision has nothing to do with the occurrence of IFIS. Appropriate methods can effectively control the development of IFIS and ensure that. Better prognosis.
【学位授予单位】：浙江大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R779.66

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