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目的探讨首诊眼科的糖尿病患者白内障手术时机及临床疗效。方法对48例(48眼)原未述糖尿病史,但在眼科白内障术前检查确诊为糖尿病的术前、术后血糖控制、手术时机选择及临床疗效进行分析。结果手术选在空腹血糖6.0 mmol/L以下11例;6.0~8.9 mmol/L 22例;9.0 mmol/L以上15例。术后视力均有不同程度提高,视力恢复与术前血糖无显著相关。结论到眼科首诊糖尿病患者病史不详,术后视力难预测。正确适时手术,增视复明,便于观察眼底病变及治疗,以提高生活质量。
Objective To investigate the timing and clinical effect of cataract surgery in the first ophthalmology diabetic patients. Methods Forty - eight patients (48 eyes) had no previous history of diabetes mellitus, but the preoperative and postoperative glucose control, the timing of surgery and the clinical efficacy of preoperative ophthalmic cataract were analyzed. Results The patients underwent surgery with fasting blood glucose below 6.0 mmol / L in 11 cases, 6.0 to 8.9 mmol / L in 22 cases and 9.0 mmol / L or more in 15 cases. Postoperative visual acuity improved to varying degrees, visual acuity was no significant correlation with preoperative blood glucose. Conclusion The history of ophthalmology first diagnosis of diabetes is unknown, visual acuity is difficult to predict. Correct timely surgery, increased proliferation of Fuming, easy to observe the fundus lesions and treatment to improve the quality of life.