首页|普拉洛芬预处理对超声乳化手术治疗糖尿病合并白内障患者疗效探讨

普拉洛芬预处理对超声乳化手术治疗糖尿病合并白内障患者疗效探讨

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目的 分析普拉洛芬预处理对超声乳化手术治疗糖尿病合并白内障患者疗效。方法 选择2022年5月—2023年5月平邑县人民医院收治的80例糖尿病合并白内障患者,以抽签法分为研究组和对照组,每组40例。两组均接受超声乳化手术治疗,研究组术前接受普拉洛芬预处理,对照组接受左氧氟沙星处理。对比两组患者术后黄斑厚度、最佳矫正视力、血糖变化,以及治疗安全性。结果 研究组术后3周和10周的黄斑厚度均明显低于对照组,组间差异有统计学意义(P<0。05);研究组术后1周和3周的最佳矫正视力均明显高于对照组,组间差异有统计学意义(P<0。05);研究组术后1d、3d和7d的血糖波动幅度均明显低于对照组,组间差异有统计学意义(P<0。05);研究组的术后并发症发生率低于对照组,组间差异无统计学意义(P>0。05)。结论 普拉洛芬预处理对超声乳化手术治疗糖尿病合并白内障患者,可降低并发症发生风险,提高视力恢复效果。
Effect Exploration of Praprofen Pretreatment on Phacoemulsification for Diabetes Patients with Cataract
Objective To analyze effect of praprofen pretreatment in phacoemulsification for diabetes patients with cataract.Methods The paper chose 80 patients with diabetes complicated with cataract in Pingyi County People's Hospital from May 2022 to May 2023,and divided them into study group and control group by lot drawing,with 40 cases in each group.Both groups were treated with phacoemulsification surgery.Study group was treated with pre-treatment with Praprofen before surgery,while control group with levofloxacin treatment.Postoperative macular thickness,best corrected visual acuity,blood glucose changes,and treatment safety were compared between two groups.Results Macular thickness of study group was significantly lower than control group at 3 and 10 weeks after surgery(P<0.05).The best corrected visual acuity of study group was significantly higher than control group at 1 week and 3 weeks after surgery(P<0.05).The blood glucose fluctuations in study group were significantly lower than control group on the 1st,3rd,and 7th day after surgery(P<0.05).Incidence of postoperative complications in study group was lower than control group(P>0.05).Conclusion Praprofen pretreatment can reduce the risk of complications and improve visual acuity recovery of patients with diabetes complicated with cataract treated by phacoemulsification.

PraprofenUltrasound emulsification surgeryDiabetesCataractComplications

张金连

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临沂市平邑县人民医院 眼科,山东 临沂 273300

普拉洛芬 超声乳化手术 糖尿病 白内障 并发症

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(10)