郑军

[摘要] 目的 对比分析小切口非超声乳化囊外摘除术与超声乳化白内障吸除术对治疗老年白内障患者的临床疗效。方法 方便选取该院2016年6—12月该院收治的131例老年性白內障患者，随机分为观察组65例使用小切口非超声乳化白内障摘除术，对照组66例使用超声乳化白内障吸除术，对比两组患者术前与术后围术期2、12、24、48 h眼压变化，术后视力恢复情况与不良反应情况。结果 经治疗后，观察组术后视力恢复情况明显优于对照组，观察组术后2、12、24、48 h眼压分别为（16.81±4.33）、（25.11±14.71）、（19.91±3.98）、（13.99±3.47）mmHg明显低于对照组眼压（19.14±4.01）、（28.02±4.02）、（24.02±3.79）、（13.76±4.22）mmHg（P<0.05）；观察组角膜水肿、虹膜损伤、瞳孔变化、前房积水、后囊破裂等不良反应发生率（15.38%）均低于对照组（34.85%）（P<0.05）。结论 使用小切口非超声乳化囊外摘除术治疗老年性白内障患者较于超声乳化白内障吸除术效果更加显著，具有围术期眼压升高速度慢、术后视力恢复速度快且不良反应率低的优势，具有临床推广价值。

[关键词] 小切口非超声乳化囊外摘除术；超声乳化白内障吸除术；老年性白内障；对比疗效

[中图分类号] R776 [文献标识码] A [文章编号] 1674-0742（2017）05（b）-0055-03

[Abstract] Objective To analyze and compare the clinical curative effect of different operations （small incision non-phacoemulsification cataract extraction and phacoemulsification for cataract surgery） in treatment of senile patients with cataract. Methods 131 cases of senile patients with cataract admitted and treated in our hospital from June to December 2016 were conveniently selected and randomly divided into two groups， the observation group with 65 cases applied the （small incision non-phacoemulsification cataract extraction， while the control group with 66 cases applied the phacoemulsification for cataract surgery， and the eye pressure changes before operation and at 2，12，24，48 h after operation， postoperative vision recovery situation and adverse reactions situation were compared between the two groups. Results After treatment， the postoperative vision recovery situation in the observation group was obviously better than that in the control group， and the eye pressures at 2，12，24，48 h after operation in the observation group were obviously lower than those in the control group， [（16.81±4.33）， （25.11±14.71）， （19.91±3.98）， （13.99±3.47）mmHg vs （19.14±4.01）mmHg， （28.02±4.02）， （24.02±3.79）， （13.76±4.22）mmHg]（P<0.05）， and the incidence rate of adverse reactions such as corneal edema， iris injury， pupil changes， anterior chamber effusion and posterior capsule rupture in the observation group was lower than that in the control group（15.38% vs 34.85%）（P<0.05）. Conclusion The effect of small incision non-phacoemulsification cataract extraction is more obvious than that of phacoemulsification for cataract surgery， which has the advantages of slow increase speed of eye pressure during the perioperative period， rapid postoperative vision recovery speed and low adverse reaction rate， and it is of clinical promotion value. phacoemulsification for cataract surgery；

[Key words] Small incision non-phacoemulsification cataract extraction； Phacoemulsification for cataract surgery； Senile patients with cataract； Comparison of curative effect

老年群体是白内障高发性群体，随着年龄逐渐增大，白内障的发病率也同比增高，主要由于如身体机能老化、局部营养障碍、免疫功能与代谢功能异常、遗传等因素引起晶状体代谢紊乱，最终导致晶状体蛋白质变性发生浑浊，形成白内障症状[1]。其临床表现一般为单侧或双侧性，两只眼同时发病会有先后顺序，视力随病状加重逐渐减退，经常出现眩光感或单眼复视，由于晶体皮质浑浊导致晶状体不同部位屈光力不同，出现近视度数逐渐增加，视物模糊等症状[2]。目前手术治疗老年性白内障主要分小切口非超声乳化囊外摘除术与超声乳化白内障吸除术两中术式，随着应用临床的普及度越来越高，相关调查证实两种术式对于治疗老年性白内障具有显著疗效[3]，该研究方便选取该院2016年6—12月该院收治的131例老年性白内障患者为研究对象，对术前、后各时间点眼压变化情况及术后不良反应情况比较，现报道如下。……