糖化血红蛋白水平对糖尿病性白内障术后预后的影响

目的：探讨糖化血红蛋白（HbA1c）与糖尿病性白内障患者术后眼前段反应及处理的关系。方法：选取92例糖尿病性白内障患者，术前检测HbA1c值，其中A组49例HbA1c≥9%，B组43例HbA1c＜9%，C组90例年龄相关性白内障患者作为对照。所有患者行白内障超声乳化联合人工晶状体植入手术，计算等效超声乳化时间（EPT），并比较术后眼前段反应及处理情况。结果：3组EPT比较差异无统计学意义（P＞0.05）；B组和C组术后眼前段反应及处理情况，差异无统计学意义（P＞0.05）；与B组和C组比，A组术后眼前段反应及处理情况差异有统计学意义（均P＜0.05）。结论：术前HbA1c的测定对糖尿病性白内障患者手术时间的选择有指导作用。

Effect of glycosylated hemoglobin level on the prognosis of patients with diabetic cataract

Objective: To investigate the relationship between the HbA1c and the treatment of patients with diabetic cataract. Methods: Ninety-two cases of diabetic cataract patients were selected, HbA1c values were preoperatively detected, of which 49 cases of HbA1c≥9% (group A), another 43 cases of HbA1c<9% (group B); 90 patients with age-related cataract were selected as the control group (group C). All patients underwent phacoemulsification combined with intraocular lens implantation. Calculate equivalent phaeo time (EPT), and compare the reaction and the treatment of the anterior segment. Results: There was no significant difference in EPT between the 3 groups (P>0.05). The reaction and treatment of the anterior segment between the B group and the C group were no significant difference (P>0.05). The reaction and the treatment of the A group were significantly different from those of the B group and the C group (all P<0.05). Conclusion: The preoperative determination of HbA1c in patients with diabetic cataract has a guiding role in the choice of operation time.