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

Correlation analysis among the blood sugar,acute inflammation before phacoe-mulsification and posterior capsule opacification in diabetes cataract

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<8.5mmol/L,平均(8.04±0.54)mmol/L;组2患者24例,血糖均>8.5mmol/L,平均(12.26±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1wk内出现晶状体前膜的例数,以及术后6mo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(1.27±0.46)分,消失时间为(5.18±0.96)d;组2前房炎症反应平均为(1.33±0.48)分,消失时间(5.21±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。

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 with diabetes mellitus（DM） were dividing into 2 groups. 22 patients in group 1,with the blood sugar（BS） 〈8.5mmol/L, average （8.04±0.54）mmol/L;24 patients in group 2,with the BS 〉8.5mmol/L, average（12.26±0.80）mmol/L. The degree of acute inflammation, the incident rate of pupillary fibrin membrane in 1 week and the onset rate of POC 6 months after the surgery were compared.RESULTS： The average degree of inflammation in group 1 was （1.27±0.46）, and disappeared in （5.18±0.96） days; while in group 2, the average degree of inflammation were （1.33±0.48）, and disappeared in （5.21±1.29） days. There were no significant differences between the average degree of inflammation, the incident rate of pupillary fibrin membrane and PCO.CONCLUSION： Patients with poor sugar controlled can undertake the phacoemulsification when the blood sugar is around 13.0mmol/L without serious complications.