糖化血红蛋白与糖尿病患者白内障术后反应的关系

The Correlation Between HbA1c and the Inflammatory Reaction after Cataract Surgery in Diabetic Patients

【目的】探讨糖尿病患者白内障术前糖化血红蛋白水平与术后眼前段反应的关系和前瞻性意义。【方法】对 5 2例伴有糖尿病和 40例不伴有糖尿病的白内障患者术前测定糖化血红蛋白 (HbA1c)水平 ,术后观察眼前段反应并作相关分析。【结果】HbA1c水平与术后眼前段反应密切相关 (rs=0 86 5 ,P <0 0 1) ,HbA1c≥ 9%组患者术后眼前段反应明显高于HbA1c<9%组和对照组患者 ,差异有显著性意义 (P <0 0 1) ,HbA1c <9%与对照组术后眼前段反应差异无统计学意义 (P >0 0 5 )。

To investigate the relationship between preoperative HbA1c level of diabetic patients and postoperative inflammation in anterior segment, and the prospective value of HbA1c. HbA1c values of 52 cases cataract patients with diabetic mellitus (DM) and 40 cases cataract patients without DM were detected preoperatively, and postoperative inflammation was observed. The relationship of HbA1c and postoperative inflammation was analyzed. There was significant correlation between HbA1c level and inflammation in the anterior segment (r s=0 865,P<0 01). Patients with higher HbA1c level (HbA1c≥9%) manifested more serious inflammation compared to the control group(P<0 01). There was no significant differences in inflammation between the patients with HbA1c<9% and the control group (P>0 05). [Conclusion] HbA1c value can predict inflammation of anterior segment, and evaluate the therapeutic effect of cataract surgery in diabetic patients.