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目的:探讨老年人白内障患者术前综合评估的临床意义。方法:对我院近5年对200例(232眼)老年白内障患者,施行白内障超声乳化或白内障摘除联合人工晶体植入术,进行回顾性分析。结果:13例(14眼)老年白内障疾病患者因为术前进行综合因素评估,发现手术禁忌证而无法开展手术。187例(218眼)老年白内障疾病患者施行白内障超声乳化或白内障摘除联合人工晶体植入术,其中58例患有心脏疾病,症状明显者,药物治疗后在心电监护和吸氧状态下施行手术。结论:白内障患者施行白内障摘除联合人工晶体植入术,手术前必须进行综合因素的评估,严格掌握手术适应证和禁忌证。
Objective: To investigate the clinical significance of preoperative comprehensive evaluation of cataract in the elderly. Methods: In the past five years in our hospital, 200 cases (232 eyes) of senile cataract patients underwent phacoemulsification or cataract extraction combined with intraocular lens implantation for retrospective analysis. Results: Thirteen patients (14 eyes) with senile cataract were evaluated for comprehensive factors before surgery and found that surgery was contraindicated and surgery was impossible. 187 patients (218 eyes) with cataract were treated by cataract phacoemulsification or cataract extraction combined with intraocular lens implantation. Among them, 58 cases had heart disease and the symptoms were obvious. After the drug treatment, the patients underwent cardiogram monitoring and oxygen inhalation surgery. Conclusions: Cataract extraction combined with intraocular lens implantation in cataract patients must be evaluated before operation. The surgical indications and contraindications should be strictly controlled.