术中前房注射曲安奈德在糖尿病性白内障中的应用.docxVIP

术中前房注射曲安奈德在糖尿病性白内障中的应用 　　[摘要]目的探討术中前房注射曲安奈德在糖尿病性白内障中的应用。方法选取2012年1月～2018年2月眼科住院治疗的糖尿病性白内障患者72例（72眼），知情同意后采用抛硬币法分成曲安奈德组（n=36）和对照组（n=36）。两组均在在表面麻醉下行超声乳化白内障联合人工晶状体植入术，曲安奈德组术中侧切口注入1mg曲安奈德和复方平衡盐溶液以维持前房。对照组按常规方法注入复方平衡盐溶液以形成维持前房。观察并比较两组术后角膜水肿、瞳孔粘连、前房纤维蛋白渗出及后囊浑浊的发生率。结果曲安奈德组术后角膜水肿发生率低于对照组（χ2=4.50，p0.05）。两组术后瞳孔粘连发生率相接近（χ2=0.26，p0.05）。曲安奈德组术后前房轻、中、重度渗出总发生率低于对照组（χ2=6.77，p0.01）。曲安奈德组术后后囊浑浊的发生率低于对照组（χ2=4.13，p0.05）。结论术中前房注射曲安奈德在糖尿病性白内障中的应用效果较确切，能显著减轻术后角膜水肿和前房纤维蛋白渗出，降低后囊浑浊的发生率。 　　[关键词]白内障;糖尿病性;前房;曲安奈德 　　[中图分类号]r776.1[文献标识码]b[文章编号]1673-9701（2019）12-0081-04 　　applicationoftriamcinoloneacetonideinjectedintoanteriorchamberduringtheoperationondiabeticcataract 　　jinweiping1puliuyan2 　　1.eyecenter，zhoushanpeople’shospitalinzhejiangprovince，zhoushan316000，china;2.womensprotectionsection，maternalandchildhealthhospitaldistrictofzhoushanpeople’shospital（maternalandchildhealthhospitalofzhoushancity）inzhejiangprovince，zhoushan316000，china 　　[abstract]objectivetodiscusstheapplicationoftriamcinoloneacetonideinjectedintoanteriorchamberduringtheoperationondiabeticcataract.methods72casesofpatients（72eyes）withdiabeticcataract，whoweregiventhemedicaltreatmentindepartmentofophtalmologyfromjanuary2012tofebruary2018，wereselected，anddividedintotriamcinoloneacetonidegroup（n=36）andcontrolgroup（n=36）bytossingthecoinaftertheinformedconsent.thepatientsintwogroupsweregivenphacoemulsificationcataractextraction？combinedwith？intraocularlensimplantationundertopicalanesthesia，whilethepatientsintriamcinoloneacetonidegroupweregiven1mgtriamcinoloneacetonideandcompoundequilibriumsaltsolution，whichwereinjectedintolateralincision，tomaintainanteriorchamber.theoccurrenceratesofcornealedema，caligopupillae，fibrousexudationoftheanteriorchamberandagaincapsulorhexisofpatientsintwogroupswereobservedandcomparedaftertheoperation.resultstheoccurrencerateofcornealedemaaftertheoperationofpatientsintriamcinoloneacetonidegroupwaslowerthanthatincontrolgroup（χ2=4.50，p0.05）.theoccurrenceratesofcaligo？pupillaeinbo