中老年糖尿病眼底病变患者白内障术后的黄斑水肿和视力

发布时间：2018-04-09 10:14

本文选题：糖尿病眼底病变　切入点：白内障术　出处：《糖尿病新世界》2017年16期

【摘要】：目的研究并分析糖尿病眼底病变患者经白内障术后的黄斑水肿与视力改变情况。方法采用回顾性分析方法选择2015年5月—2017年2月期间该院收诊的40例糖尿病眼底病变患者,设置为研究组,同时选择同期该院就诊的非糖尿病眼底病变50例患者作为对照组。所有患者都进行白内障手术治疗,采用相同的手术方法与术后处理措施。术后都采用泼尼松龙滴眼液,3次/d,剂量为5.0 g/(L·次),连续用药≥3周;联合应用双氯芬酸钠滴眼液,3次/d,剂量1.0 g/(L·次),连续用药3周。术后对两组患者血糖水平、视力变化状况、术后渗漏状况、黄斑水肿状况进行比较分析。结果研究组患者空腹血糖、餐后3 h血糖显著高于对照组,观察组患者在术后治疗1周、6周、6个月是视力矫正情况都显著次于对照组,白内障术后对照组患者渗漏状况显著优于观察组,并且黄斑中心凹厚度显著小于观察组,组间数据比较差异有统计学意义(P0.05)。结论中老年糖尿病眼底病变患者采用白内障手术治疗以后,黄斑水肿发生率很高,对患者术后视力恢复情况会产生很大的影响。术后对采用患者双氯芬酸钠滴眼液与泼尼松龙滴眼液或联合方法,对术后治疗效果起到正效作用,能够缓解黄斑水肿症状,以防患者视功能紊乱与病情发展,并强化患眼康复质量与视力恢复效果。
[Abstract]:Objective to study and analyze the macular edema and visual acuity of diabetic fundus disease patients after cataract surgery.Methods 40 patients with diabetic fundus disease were selected from May 2015 to February 2017 as the study group and 50 patients with non-diabetic fundus disease in the same period were selected as the control group.All patients underwent cataract surgery, using the same surgical procedures and postoperative management.All patients were treated with prednisolone eye drops for 3 times / d at a dose of 5.0 g / L / L for more than 3 weeks and diclofenac sodium eye drops for 3 times / d at a dose of 1.0 g / L / L for 3 weeks.The changes of blood glucose, visual acuity, postoperative leakage and macular edema were compared between the two groups.Results the fasting blood glucose and postprandial blood glucose in the study group were significantly higher than those in the control group.The leakage of the control group was significantly better than that of the observation group, and the thickness of macular fovea was significantly lower than that of the observation group, and the difference between the two groups was statistically significant (P 0.05).Conclusion the incidence of macular edema in middle and old patients with diabetic fundus lesion is very high after cataract surgery, which will have a great influence on the recovery of postoperative visual acuity.Postoperative use of diclofenac sodium eye drops and prednisolone eye drops or combined methods has a positive effect on postoperative treatment, can alleviate macular edema symptoms, and prevent the patients with visual dysfunction and the development of the disease.The quality of rehabilitation and the recovery of visual acuity were strengthened.
【作者单位】：辽宁电力中心医院眼科;
【分类号】：R587.2;R779.6

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