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目的比较两种方法防治白内障术后并发症的疗效。方法选2005年6月至2009年1月接受人工晶状体植入术白内障患者100例(130眼),随机分为观察组和对照组,每组各50例。全部病例手术后结膜下注射庆大霉素2万U+地塞米松2 mg,涂抗生素眼膏,全身和局部用抗生素,抗生素眼液频繁点眼治疗。观察组在以上治疗方案基础上加用口服强的松片+0.1%双氯芬酸钠眼液+人工泪液治疗。观察比较两组临床疗效。结果观察组在预防眼痛、畏光流泪、角膜水肿、结膜充血等并发症方面显著优于对照组(P<0.05)。结论综合治疗可有效减少白内障术后并发症,值得临床推广。
Objective To compare the curative effect of two methods to prevent postoperative complications of cataract. Methods 100 cases (130 eyes) of cataract patients undergoing intraocular lens implantation from June 2005 to January 2009 were randomly divided into observation group and control group, with 50 cases in each group. All cases were treated with conjunctival injection of gentamicin 20000 U + dexamethasone 2 mg, antibiotic ointment, systemic and topical antibiotics, antibiotic eye drops frequent eye treatment. Observation group based on the above treatment plus oral prednisone + 0.1% diclofenac sodium eye + artificial tears treatment. Observed and compared the clinical efficacy. Results The observation group was significantly better than the control group in the prevention of eye pain, photophobia, corneal edema, conjunctival congestion and other complications (P <0.05). Conclusion The comprehensive treatment can effectively reduce the postoperative complications of cataract and is worthy of clinical promotion.