【摘要】 目的探讨复杂性白内障手术中前房内注射曲安奈德的临床效果及安全性。方法 138例(138眼)复杂性白内障患者随机分为两组,观察组39例患者术中前房内注入曲安奈德0.4~0.8 mg;对照组99例患者术中球旁注射地塞米松针2.5 mg。观察两组患者术后第1天、第7天、2周、1个月的视力矫正≥0.3者,记录术后第1、3、7天及2周出现渗出情况,并观察患者并发症。结果两组患者术后第1天、第7天视力矫正≥0.3者比较差异有统计学意义(P<0.01)。术后2周、1个月差异无统计学意义(P>0.05);观察组患者第1、3、7天及2周出现渗出情况明显低于对照组,且对照组患者并发症发生情况明显高于观察组,差异有统计学意义。结论复杂性白内障术中前房注射曲安奈德,可减轻早期术后炎性反应,促进视功能早期恢复,提高了手术的安全性及效果,且操作简单易行。更多还原

【Abstract】 Objective To study the effect and safety of anterior chamber injection of Cu Ann Ned complexity in cataract operation.Methods In 138 cases(138 eyes)of complex cataract patients were randomly divided into two groups,the observation group of 39 cases of anterior chamber in patients with injected triamcinolone acetonide 0.4~0.8 mg;the control group of 99 patients in the dexamethasone 2.5 mg peribulbar injection needle.Two groups were observed after first days,seventh days,2 week,1 months and two patients vision correction is more than or equal to 0.3,recorded after first,3,7 days and 2 weeks effusion,and observation of complications in patients with.Results The patients of two groups after first days,seventh days more than 0.3 corrected visual acuity difference was statistically significant(P<0.01).After 2 weeks,1 months,no significant difference(P>0.05);the patients in the observation group were first,3,7 days and 2 weeks effusion was significantly lower than that of control group,and the control group of patients with complications was significantly higher than that of the observation group,the difference has statistical significance.Conclusion Complexity in cataract extraction with anterior chamber injection of Cu Ann Ned,can relieve the early postoperative inflammatory reaction,promote early recovery of visual function,improve the safety and effect of operation and simple and easy operation,easy popularization.更多还原