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目的探讨硬核白内障行小切口非超声乳化术联合人工晶状体植入术的手术方式、临床效果及术前术后护理方法。方法对实施该手术的381例402眼(均为Ⅳ级及Ⅴ级核)临床及护理资料进行回顾性分析。分析手术方式的适宜性及护理治疗效果。结果术后1周、1个月、3个月,裸眼视力达0.5及以上者分别为261眼(64.93%)、305眼(75.87%)、317眼(78.86%),术后3~12个月、裸眼视力均在0.05以上,脱盲率100%。结论硬核白内障行小切口非超声乳化术联合人工晶体术正确的治疗与积极的护理干预可获得满意疗效,适合在基层医院开展。
Objective To investigate the surgical methods, clinical effects and preoperative and postoperative nursing of small incision non-phacoemulsification combined with intraocular lens implantation in hard nucleus cataract. Methods The clinical and nursing data of 381 cases (all grade Ⅳ and grade Ⅴ) of 402 eyes who underwent this operation were analyzed retrospectively. Analysis of the suitability of surgical methods and nursing treatment. Results One week, one month and three months after operation, 261 eyes (64.93%), 305 eyes (75.87%), 317 eyes (78.86%) had visual acuity of 0.5 and above, respectively. Month, uncorrected visual acuity were above 0.05, 100% blindness rate. Conclusions The correct curative effect and active nursing intervention can be obtained in the treatment of hard nuclear cataract with small incision non-phacoemulsification combined with intraocular lens surgery. It is suitable for the primary hospital.