不同手术方式治疗老年性白内障的临床价值分析

Analysis of the Clinical Value of Different Surgical Methods in the Treatment of Senile Cataract

目的对老年性白内障患者采用小切口非超声乳化术和超声乳化术治疗的效果进行观察和比较。方法于2018年1月-2019年5月方便选择该院收治的老年性白内障患者72例作为该次研究纳入的研究对象。按照随机数字表法将其划分为常规组和研究组,每组36例。采用小切口非超声乳化术对常规组实施治疗,采用超声乳化术对研究组实施治疗。对比两组患者的治疗效果。结果常规组和研究组在治疗前的视力和角膜平均散光值比较差异无统计学意义(P>0.05),常规组和研究组在治疗后的视力分别为(0.7±0.2)、(0.7±0.1)和角膜平均散光值(1.2±0.3)、(1.2±0.2)与治疗前(0.4±0.1)、(0.4±0.2)、(0.8±0.1)、(0.8±0.2)比较均具有明显改善,同组治疗前后比较差异有统计学意义(P<0.05),治疗后组间比较差异无统计学意义(P>0.05)。常规组并发症率为5.6%,研究组并发症率为2.8%。常规组和研究组的并发症率比较差异无统计学意义(χ^2=0.379,P>0.05)。结论针对老年性白内障患者采用小切口非超声乳化术和超声乳化术治疗均具有很好的效果,而且安全性也比较高,在临床实践中可以以患者的实际情况为依据选择合适的方法对老年性白内障患者进行治疗。

Objective To observe and compare the effects of small incision non-phacoemulsification and phacoemulsification in patients with senile cataract.Methods 72 cases of senile cataract patients admitted to the hospital from January 2018 to May 2019 were conveniently selected as the research objects included in this study.According to the random number table method,they were divided into a routine group and a study group.There were 36 patients in each group.Small incision non-phacoemulsification was used to treat the conventional group,and phacoemulsification was used to treat the study group.Compare the treatment effect of the two groups of patients.Results The visual acuity and mean corneal astigmatism of the conventional group and the study group before treatment were was not statistically significant differenence(P>0.05).The visual acuity of the conventional group and the study group after treatment was(0.7±0.2),(0.7±0.1)and the average corneal astigmatism was(1.2±0.3),(1.2±0.2);compared with(0.4±0.1),(0.4±0.2),(0.8±0.1),(0.8±0.2)before treatment,with significant improvement.Compared with before and after treatment,the difference was statistically significant(P<0.05),there was not statistically significant difference between groups after treatment(P>0.05).The complication rate in the routine group was 5.6%,and the complication rate in the study group was 2.8%.There was not statistically significant in the complication rate between the routine group and the study group(χ^2=0.379,P>0.05).Conclusion The small-incision non-phacoemulsification and phacoemulsification treatments for senile cataract patients have good results,and the safety is relatively high.In clinical practice,suitable methods can be selected based on the actual conditions of the patients with cataract.