白内障超声乳化吸除术后高眼压不同治疗方法的临床研究.pdfVIP

· 28· 缕州医学院学报2008年2月第31卷第1期 BMU Journal，Feb．2008，Vo1．31，No．1 白内障超声乳化吸除术后高眼压不同治疗方法 的临床研究 翟 洪 赵鲁新 姚 雪 王 哲 淄博市中心医院眼科 淄博市 255036 【摘要】 目的 探讨治疗白内障超声乳化吸除手术后早期眼压升高的不同治疗方法。方法 在住院的年龄相关性白内障患 者中选择超声乳化吸除手术的连续性病人513例602眼，将术后出现高眼压的62例71眼随机分为放液组和药物组，术前常 规测量眼压，术后4—6 h测眼压，眼压高者根据分组采用角膜缘切口放液和药物控制眼压，并观察术后1 d、2 d、3 d、1周的眼 压变化。将资料进行t检验和X2检验。结果 放液组和药物组术前眼压和4～6 h后眼压比较差别无统计学意义，术后1 d和 2 d，两组比较差别有统计学意义，放液组眼压低于药物组(P=0．000)，3 d和1周则两组无统计学差异(P=0．451，P= 0．791)。术后1 d、2 d放液组眼压升高的病例少于药物组(P=0．000．，P=0．011)。术后3 d两组都没有高眼压病例出现。结 论 药物治疗超声乳化后高眼压起效慢，需要的时间长，而辅助切口放液简便、安全、有效，是处理早期高眼压的好方法。 【关键词】 超声乳化白内障吸除术；眼压；人工晶状体 【中图分类号】 R776．1 【文献标识码】 A 【文章编号】 1001-9510(2008)01-0028-03 The clinical study about different treatment in elevated intraocular pressure after phacoemulsificafion ZHAI Hong ZHAO Luxin YAO Xue et al Department of Ophthalmology，Central Hospital of Zibo，Zibo 255036 【Abstract】 Objective To study the Therapy in treating early elevated intraocular pressure(IOP)after phacoemulsification．Meth· ods Total consecutive 513 patients(602 eyes)to be in hospital underwent cataract phacoemulsification were studied．62 patients(71 eyes)with high intraocular pressure were randomized divided into 2 groups：adjunctive limbus corneae incision tapping(36 eyes)and drug treatment(35 eyes)．The IOP was measured preoperatively and postoperatively 4—6 h．Two methods were used according to groups，and IOP changes were observed in postoperatively 1 d，2 d。3 d and lw．Th e data Was analyzed by t and test．Results There was no difference in incision tapping and drug treatment group preoperatively and postoperatively 4——6 h and the difference was con．- firmed after ld and 2d。theIOP ofincisiontappinggroupwaslow(P=0．000)。but notin 3 dand 1 W(P=0．451，P=0．791)．Thein． creased IOP eyes in incision tapping