白内障术前血糖与术后急性前房反应及后发性白内障的相关性分析.docVIP

　　白内障术前血糖与术后急性前房反应及后发性白内障的相关性分析 【摘要】 目的：探讨糖尿病白内障手术患者术前血糖值与术后急性前房反应及后发性白内障的相关性。方法：回顾性资料分析46例并发糖尿病的白内障手术患者，根据术前血糖分为两组，组1患者22例，血糖lt;8.5mmol/L，平均(8.04plusmn;0.54)mmol/L;组2患者24例，血糖均gt;8.5mmol/L，平均(12.26plusmn;0.80)mmol/L。术后记录两组患者前房反应评分及消失时间，术后1o出现后发性白内障的例数。结果：组1术后前房炎症反应平均(1.27plusmn;0.46)分，消失时间为(5.18plusmn;0.96)d;组2前房炎症反应平均为(1.33plusmn;0.48)分，消失时间(5.21plusmn;1.29)d，两组之间的差异无统计学意义。人工晶状体前膜和后发性白内障的发生率也无统计学差异。结论：部分血糖难以控制的糖尿病患者，需要进行白内障手术时，术前血糖平稳控制在13.0mmol/L以下，仍可考虑进行超声乳化白内障手术治疗。 【关键词】 糖尿病;白内障超声乳化手术;血糖 　Correlation analysis among the blood sugar, acute inflammation before phacoe?mulsification and posterior capsule opacification in diabetes cataract 　　Jian?Qiang Zhang, Cun Sun 　　Department of Ophthalmology, Hui Nationalities Hospital, Beijing 100054,China 　　Correspondence to:Jian?Qiang Zhang.Department of Ophthalmology， Hui Nationalities Hospital, Beijing 100054,China.zhangjianqiang62gmail. 　　Received:2010?07?13 Accepted:2010?08?03 　　Abstract 　　?AIM: To evaluate the correlation among the blood sugar, acute inflammation before phacoemulsification and posterior capsule opacification (PCO) in diabetes cataract. 　　?METHODS: According to the different ranges of blood sugar before the phacoemulsification, 46 patients ellitus(DM) mol/L, average (8.04plusmn;0.54)mmol/L;24 patients in group 2,mol/L, average(12.26plusmn;0.80)mmol/L. The degree of acute inflammation, the incident rate of pupillary fibrin membrane in 1 onths after the surgery mation in group 1 n;0.46), and disappeared in (5.18plusmn;0.96) days; mation n;0.48), and disappeared in (5.21plusmn;1.29) days. There mation, the incident rate of pupillary fibrin membrane and PCO. 　　?CONCLUSION: Patients ulsification mol/L ellitus; phacoemulsification; blood sugar 　　Zhang JQ, Sun C. Correlation analysis among the blood sugar, acute inflammation before phacoemulsification and posterior capsule opacification in diabetes cataract. Int J Ophthalmol(Guoji Yanke Zazhi) 2010;10(9):1686?1688 　随着国内糖尿病的患病率逐步上升，在白内障手术患者中，并发糖尿病所占的比例也在不断上升，糖尿病不再是