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目的探讨糖尿病患者白内障术后焦虑水平对干眼症状的影响。方法将2013年1月—2016年10月我院收治的117例患白内障的糖尿病患者按照是否存在焦虑分为两组,研究组1患者共52例,均存在不同程度的焦虑情绪,研究组2共65例,均不存在焦虑情绪,选取同期来我院治疗的有焦虑情绪的白内障患者50例作为对照组,比较术后干眼症状评分。结果术后1 d,研究组1干眼症评分与研究组2、对照组比较差异无统计学意义(P>0.05);术后7 d,研究组1干眼症评分与研究组2比较,两组差异有统计学意义(P<0.05);术后3个月,研究组1干眼症评分与研究组2比较,差异无统计学意义(P>0.05)。术后7 d、术后3个月,研究组1干眼症评分与对照组比较均更高(P<0.05)。结论糖尿病患者白内障术后焦虑会影响到患者的干眼症状的改善,应积极控制患糖尿病白内障患者的血糖水平,对患糖尿病白内障手术患者的焦虑心理进行积极干预,促进术后干眼症状减轻。
Objective To investigate the effect of post-cataract anxiety on the symptoms of dry eye in diabetic patients. Methods From January 2013 to October 2016, 117 patients with diabetes mellitus and cataract admitted to our hospital were divided into two groups according to the presence or absence of anxiety. There were 52 patients in study group 1 with varying degrees of anxiety. Study group 2 A total of 65 cases, no anxiety, select the same period to our hospital treatment of anxiety cataract patients 50 cases as a control group, postoperative dry eye symptom score. Results On the first postoperative day, the dry eye score of study group 1 was not significantly different from that of study group 2 and control group (P> 0.05). On the 7th day after operation, the dry eye score of study group 1 was compared with that of study group 2 There was a significant difference between the two groups (P <0.05). At 3 months after operation, the dry eye score of study group 1 was not significantly different from that of study group 2 (P> 0.05). At 7 days and 3 months after operation, the dry eye score of study group 1 was higher than that of the control group (P <0.05). Conclusions Anxiety after cataract surgery in diabetics may affect the improvement of dry eye symptoms, and should actively control the blood glucose level in patients with diabetic cataract and positively interfere with anxiety in diabetic patients with cataract surgery and promote the relief of postoperative dry eye symptoms.