摘要
目的探讨对硬核白内障患者选择小切口非超声乳化白内障摘除术治疗后获得的临床效果。方法方便选择该院2017年6月—2019年2月收治的135例硬核白内障患者作为实验对象;数字奇偶法分组后探究每组手术方式;比照组(67例):选择常规手术方式展开白内障治疗;实验组(68例):选择小切口非超声乳化白内障摘除术展开白内障治疗;比较两组硬核白内障患者手术总有效率、角膜散光度以及患眼并发症情况。结果实验组硬核白内障患者手术总有效率(98.53%)高于比照组(80.60%),差异有统计学意义(χ^2=11.6756,P<0.05);手术前,实验组硬核白内障患者角膜散光度为(0.46±0.15)°;比照组为(0.47±0.13)°;手术后,实验组硬核白内障患者角膜散光度为(1.96±0.39)°,比照组为(1.23±0.36)°;手术前,实验组硬核白内障患者角膜散光度同比照组比较,差异无统计学意义(t=0.4136,P>0.05);手术后,实验组角膜散光度高于比照组,差异有统计学意义(t=11.2963,P<0.05);实验组硬核白内障患眼并发症发生率(1.47%)低于比照组(13.43%),差异有统计学意义(χ^2=7.0410,P<0.05)。结论硬核白内障患者于临床接受小切口非超声乳化白内障摘除术治疗后,对于提升白内障手术疗效,提升角膜散光度以及减少患眼并发症,效果显著,最终对于提升硬核白内障患者康复状态奠定基础。
Objective To investigate the clinical effects of small incision non-phacoemulsification cataract extraction in patients with hard cataract. Methods A total of 135 patients with hard cataract who were admitted to our hospital from June 2017 to February 2019 were convenient selected as subjects. The digital parity method was used to analyze each group of surgical methods. The comparison group (67 cases): the routine operation was performed to develop cataract;experimental group (68 cases): cataract extraction with small incision non-phacoemulsification cataract extraction was performed;total effective rate, corneal astigmatism and ocular complications were compared between the two groups of patients with hard cataract. Results The total effective rate of surgery in the experimental group was 98.53% higher than that in the control group (80.60%),the diffe rence was statistically significant(χ^2=11.675 6,P<0.05). Before surgery, the corneal astigmatism of the experimental group was (0.46±0.15)°, the comparison group was (0.47±0.13)°;after surgery, the corneal astigmatism of the experimental group was (1.96±0.39)° in the hard cataract patients and (1.23±0.36)° in the comparison group;The corneal astigmatism of the experimental group had no statistically significant difference in the corneal astigmatism compared with the control group (t=0.413 6,P>0.05). After operation, the corneal astigmatism of the experimental group was higher than that of the control group,the diffe rence was statistically significant(t=11.296 3,P<0.05);The incidence of ocular complications in the experimental group(1.47%) was significantly lower than that in the control group (13.43%),the diffe rence was statistically significant(χ^2=7.041 0,P<0.05). Conclusion After the clinical treatment of small incision non-phacoemulsification cataract extraction, the effect of cataract surgery is improved, the corneal astigmatism is improved and the eye complications are reduced. The effect is obvious, and thus laying the foundation of the rehabilitation status of patients with hard cataract.
作者
郑艳辉
ZHENG Yan-hui(Department of Ophthalmology, Xiezhuang Coal Mine Hospital, Xinwen Mining Group, Xintai, Shandong Province, 271221 China)
出处
《中外医疗》
2019年第24期77-79,共3页
China & Foreign Medical Treatment
关键词
小切口非超声乳化白内障摘除术
硬核白内障
临床效果
Small incision non-phacoemulsification cataract extraction
Hard cataract
Clinical effect
