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本文统计分析了糖尿病人老年性白内障手术117例的发病状况、术后效果以及有关因素。结果表明:糖尿病人白内障的手术占同期老年人白内障手术的19.1%。术后视力≥0.5的百分比为:无糖尿病性视网膜病变组为95%,背景性糖尿病视网膜病变组64.4%,增殖性视网膜病变组为零。三组比较,差异极显著(P<0.005)。结果还显示:黄斑病变、玻璃体出血及增殖性视网膜病变为影响糖尿病人白内障术后视力的主要原因;术后糖尿病视网膜病变进展与血糖控制不佳有关。作者认为老年糖尿病人白内障应及早手术,以便及早施行视网膜光凝治疗;术后要定期随访。
This article statistically analyzed the incidence of senile cataract surgery in patients with diabetes 117 cases, postoperative effects and related factors. The results showed that: cataract surgery in diabetic patients accounted for 19.1% of cataract surgery in the same period. The percentages of postoperative visual acuity≥0.5 were 95% in non-diabetic retinopathy group, 64.4% in diabetic retinopathy group and zero in proliferative retinopathy group. The differences between the three groups were significant (P <0.005). The results also showed that macular degeneration, vitreous hemorrhage and proliferative retinopathy were the main causes of visual acuity after cataract surgery in diabetic patients. The postoperative development of diabetic retinopathy was related to the poor control of blood glucose. The author believes that elderly diabetic cataract surgery should be as early as possible in order to implement retinal photocoagulation treatment; regular follow-up after surgery.