论文部分内容阅读
目的:针对白内障手术来说,糖尿病患者的血糖控制有着一定的影响作用。方法:本次研究的对象均为2016年3月至2017年3月来我院就诊的伴有糖尿病的白内障患者,共30例,随机选取相同条件下的非糖尿病患者为对照,回顾性分析患者的影响效果。结果:与干预前相比较,实验组的空腹血糖、餐后2h血糖、糖化血红蛋白均优于干预前,差异显著,具有统计学意义(P<0.05)。按照术前糖化血红蛋白值情况分为控制不佳8眼、控制一般32眼、控制理想6眼三组。和对照组对比结果为,对照组与血糖控制不佳对比,差异有统计学意义;对照组与血糖控制一般对比,差异无统计学意义;对照组与血糖控制理想对比,差异无统计学意义。由此可知,房水炎性细胞的存在和血糖控制不佳有一定关系。同时30例实验组中,角膜水肿患者4眼,均为轻度角膜水肿,未出现大疤性角膜炎,都在7d之内恢复。未出现葡萄膜炎、视网膜脱离、青光眼、眼内炎。结论:白内障术前糖尿病患者需要在控制血糖于一个稳定的范围,积极展开检查,采取预防性治疗,以期得到优良的预后。
Objective: For cataract surgery, the glycemic control of diabetic patients has a certain effect. Methods: All the subjects in this study were cataract patients with diabetes mellitus who were treated in our hospital from March 2016 to March 2017. A total of 30 non-diabetic patients under the same conditions were selected randomly as the control. The patients were retrospectively analyzed Effect of the effect. Results: Compared with before intervention, fasting blood glucose, postprandial 2h blood glucose and glycosylated hemoglobin in the experimental group were significantly better than those before the intervention, with significant difference (P <0.05). According to preoperative glycosylated hemoglobin value is divided into poor control of 8 eyes, control of the general 32 eyes, the ideal control of 6 eyes three groups. Compared with the control group, the control group and the poor control of blood glucose, the difference was statistically significant; control group and blood glucose control in general, the difference was not statistically significant; control group and glycemic control ideal comparison, the difference was not statistically significant. It can be seen, the presence of aqueous humor cells and poor blood glucose control have a certain relationship. At the same time, 30 patients in the experimental group, 4 patients with corneal edema, were mild corneal edema, did not appear scarring keratitis, recovered within 7d. No uveitis, retinal detachment, glaucoma, endophthalmitis. Conclusion: Preoperative cataract patients with diabetes need to control blood sugar in a stable range, and actively carry out the test, preventive treatment, in order to obtain a good prognosis.