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目的:评价糖尿病白内障患者超声乳化术后人工泪液治疗的临床疗效。方法:选取2012年8月-2014年8月我院使用超声乳化吸除术治疗白内障的糖尿病患者120例,随机分为观察组与对照组,每组60例。对照组术后给予常规药物治疗,观察组在常规治疗的基础上加用人工泪液。结果:两组患者治疗后基础泪液分泌试验(Schirmer I test,SIT)、角膜荧光素染色检查(fl uorescent,FL)、泪膜破裂时间检查(tear break-up time,BUT)水平水平与治疗前相比均显著提高,差异有统计学意义(P<0.05),观察组的基础泪液分泌试验(SIT)、角膜荧光素染色检查(FL)、泪膜破裂时间检查(BUT)提高幅度优于对照组,差异有统计学意义(P<0.05);观察组总有效率为91.7%(55/60),对照组为78.3%(47/60),组间比较,差异有统计学意义(P<0.05)。结论:糖尿病白内障患者超声乳化术后人工泪液治疗的临床疗效良好,优于传统治疗方法,并能有效治疗干眼症。
Objective: To evaluate the clinical effect of artificial tears after phacoemulsification in diabetic cataract patients. Methods: A total of 120 diabetic patients with phacoemulsification in our hospital from August 2012 to August 2014 were randomly divided into observation group and control group, 60 cases in each group. The control group was given conventional medicine after operation. The observation group was given artificial tears on the basis of routine treatment. Results: After treatment, the levels of Schirmer I test (SIT), fl uorescent (FL), tear break-up time (BUT) (P <0.05). The basal tear secretion test (SIT), corneal fluorescein staining (FL) and tear film breakup time (BUT) in observation group were better than those in control group (P <0.05). The total effective rate was 91.7% (55/60) in the observation group and 78.3% (47/60) in the control group, the difference was statistically significant (P < 0.05). Conclusion: The clinical effect of artificial tears after phacoemulsification in patients with diabetes mellitus is better than traditional methods and can effectively treat dry eye.