影响糖尿病患者人工晶体植入术远期视力预后的相关因素分析

目的探讨影响糖尿病患者人工晶体植入术后远期视力相关因素。方法观察86例86眼行人工晶体植入术的患者,记录性别,年龄,核硬度,糖尿病病程,手术前血糖,糖化血红蛋白,胰岛素治疗,手术后第一天前房炎症反应,高血压,高血脂,分别在术后一个月与两年进行视力的多因素相关分析。结果手术后一周视力与术前血糖、糖化血红蛋白,核硬度,手术后第一天前房炎症反应,手术类型相关,(P<0.05)手术3年远视力与手术前糖化血红蛋白水平,高血压,高血脂,胰岛素治疗,糖尿病病程相关(P<0.05)。结论糖化血红蛋白控制好的患者人工晶体植入术会获得较好的远期视力,糖尿病病程短,不伴有高血压、高血脂的患者手术治疗后视力提高较大。

Analysis of Relative Factors Affecting Long-term Prognosis of Visual Acuity in Diabetic Patients after Implantation of Artificial Lens

Objective To investigate the relative factors affecting long-term prognosis of visual acuity in diabetic patients after implantation of artificial lens. Methods A total of 86 eyes of 86 diabetic patients with implantation of artificial lens were enrolled in this study. The gender, age, core rigidity, course of disease, preoperative levels of blood sugar and HbA1c, insulin administration, anterior chamber inflammation at the first day after operation, hypertension, and hyperlipemia were recorded. Multi-factor relation analysis of visual acuity was performed at the first month and the third year after operation, respectively. Results The postoperative visual acuity at the first week after operation was related to the preoperative level of blood sugar and HbA1c, core rigidity, anterior chamber inflammation at the first day after operation and types of operation(P<0.05). The visual acuity at the third year after operation was related to preoperative HbA1c level, insulin therapy, hypertension, hyperlipaemia and course of diabetes(P<0.05). Conclusion The patients whose HbA1c was controlled in good condition can obtained a better long-term visual acuity after artificial lens implantation. The visual acuity could be improved obviously in the patients who had a short diabetic course, and without hypertension and hyperlipemia.