摘要：
目的 探讨湛江市白内障复明手术视觉质量,以及对影响白内障复明手术视觉质量社会因素进行调查.方法 选取2005-09-2014-12间湛江市第二人民医院共收治的8796例白内障患者进行研究,按照患者自愿手术的原则将患者分为两组,其中A组3540例采用小切口非超声乳化白内障手术,B组5256例采用超声乳化白内障手术,观察两组术后3个月最佳矫正视力、术后并发症和复发现象,以及白内障术后视觉质量(主观视觉,周边视野,视觉适应和立体视觉)等,并对影响视觉质量的社会因素进行调查.结果 术后3个月患者视觉功能相比,差异无统计学意义,P>0.05;A组患者术后角膜水肿和前房渗出的发生率分别为4.44%和3.36%,显著高于B组的1.43%和0.97%,差异均有统计学意义,P0.05,差异无统计学意义.结论 白内障手术可改善患者视功能,进而显著提高患者生活质量.加强防盲手术过程的质量控制,并重视术后长期随访.%Objective To study the visual quality of cataract surgery operation,as well as social investigation of the factors affecting the visual quality of cataract surgery.Methods Choosing 8796 cataract patients from September,2005 to December,2014 in the hospital.According to the principle of voluntary patients,they were divided into two groups,in which A group of 3540 cases had small incision non-phacoemulsification cataract surgery.Ultrasonic emulsification cataract surgery,3 months after the best corrected visual acuity,complications and recurrence phenomenon,as well as the visual quality of cataract surgery (subjective visual,peripheral vision,visual adaptation and stereo vision),etc.were observed,and the social factors influencing the visual quality were compared.Results There was no statistically significant difference of postoperative visual function in patients within 3 months,P>0.05.The incidence of postoperative corneal edema and anterior chamber exudation of A group were 4.44% and 3.36% respectively,which were significantly higher than group B of 1.43% and 0.97%.The differences were statistically significant,P0.05.Conclusion Cataract surgery can improve the visual function of patients,so it can significantly improve the quality of life of patients.The quality control of the process of anti-blind surgery should be strengthened,and importance to long-term follow-up should be attached.
