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目的 评价糖尿病并发性白内障术前糖化血红蛋白(HbAlc)测定的意义。方法 白内障病人146例,行白内障超声乳化联合人工晶体植入手术(Phaco+IOL)。其中老年性白内障75例为A组,糖尿病并发性自内障71例,术前行HbAlc测定,按测定值分成B(≤80A,)、C(>8％)两组。比较等效超声乳化时间(EPT)、术后前房炎症反应和术后激素使用情况,并行统计学分析。结果 A、B、C三组EPT无显著性差异(P>0.05)。C组术后炎症反应和激素使用显著多于A组和B组(P<0.05,P(0.01);A组和B组术后炎症反应和激素使用情况相似(P>0.05)。结论 术前测定HbAlc,对合理选择糖尿病并发性白内障患者的手术时机有重要意义。
Objective To evaluate the significance of preoperative determination of HbAlc in patients with diabetic complicated cataract. Methods 146 cases of cataract patients underwent phacoemulsification and intraocular lens implantation (Phaco + IOL). Among them, 75 cases of senile cataract were Group A, and 71 cases of diabetes mellitus complicated by cataract. HbAlc was measured preoperatively and divided into B (≤80A) and C (> 8%) according to the measured value. The equivalent phacoemulsification time (EPT), postoperative anterior chamber inflammation and postoperative hormone use were compared statistically. Results There was no significant difference in EPT between A, B and C groups (P> 0.05). The postoperative inflammatory response and hormone use in group C were significantly higher than those in group A and group B (P <0.05, P <0.01). The postoperative inflammatory response and hormone use in group A and group B were similar (P> 0.05) Determination of HbAlc, the rational selection of diabetic patients with cataract surgery timing is important.