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目的:探讨小切口非超声乳化白内障手术对硬核白内障患者散光控制情况的影响。方法:选取寿光市中医医院2017年1月至2019年12月收治的硬核白内障患者102例为研究对象，采用随机数字表法分为对照组51例、观察组51例。对照组应用超声乳化白内障手术治疗，观察组应用小切口非超声乳化白内障手术治疗，对比两种手术方法对散光控制情况的影响。结果:两组患者术后视力均改善，两组改善程度差异无统计学意义（n P>0.05）。观察组角膜散光度低于对照组［（0.92±0.26）D比（1.32±0.55）D］（n t=20.463，n P<0.05）；观察组术后前房出血、巩膜受损、角膜水肿及房水闪辉发生率分别为1.9%、0.0%、2.9%、1.9%，均低于对照组的5.8%、3.9%、13.7%、9.8%（χn 2=4.995、6.045、5.337、5.137，均n P<0.05）；观察组患者的满意度为94.1%（48/51），高于对照组的80.3%（41/51）（χn 2=6.356，n P 0.05). The corneal astigmatism in the observation group was significantly lower than that in the control group [(0.92 ± 0.26) D n vs. (1.32 ± 0.55) D, n t = 20.463, n P < 0.05). After surgery, the incidences of hyphema, scleral damage, corneal edema, and aqueous flare in the observation group were 1.9%, 0.0%, 2.9% and 1.9%, respectively, which were significantly lower than 5.8%, 3.9%, 13.7% and 9.8% respectively in the control group (χ n 2 = 4.995, 6.045, 5.337 and 5.137, all n P < 0.05). Patient satisfaction in the observation group was significantly higher than that in the control group [94.1% (48/51) n vs. 80.3% (41/51), χn 2 = 6.356, n P < 0.05)].n Conclusion:Small-incision non-phacoemulsification cataract surgery in the treatment of dense nucleus cataract has a satisfactory effect because it can better control astigmatism, reduce the incidence of postoperative complications, and improve patient satisfaction than phacoemulsification cataract surgery.