国际眼科杂志2017,Vol.17Issue(3):485-487,3.DOI:10.3980/j.issn.1672-5123.2017.3.24
监测糖化血红蛋白在糖尿病患者白内障术后的应用价值
Application value of monitoring glycosylated hemoglobin after cataract surgery in diabetic patients
周绍英 1王真艳 2高淼3
作者信息
- 1. 404120 中国重庆市渝北区人民医院 检验科
- 2. 404120 中国重庆市渝北区人民医院 眼科
- 3. 400016 中国重庆市,重庆医科大学附属第一医院检验科
- 折叠
摘要
Abstract
·AIM: To explore the application value of glycosylated hemoglobin after cataract surgery in diabetic patients. <br> ·METHODS:Selected 120 patients with cataract surgery from May 2014 to May 2016 in ophthalmology department of our hospital, were divided into diabetic group ( 80 patients with 110 eyes ) and control group ( 40 patients with 48 eyes). According to the HbA1c levels, diabetic group was divided into high HbA1c group ( HbA1c >7. 0%) and low HbA1c group ( HbA1c≤7%). The total macular volume and central retinal thickness were observed before and at 1mo after the cataract operation in the three groups. <br> · RESULTS: The central retinal thickness of the macular area in the diabetic group was significantly higher than that in the control group(P<0. 05). The total volume of macular foveal retinal thickness before and at 1mo after the operation in the high HbA1c group were significantly higher than those of low HbA1c group and the control group(P<0. 05). The indexes of preoperative and 1mo postoperative of low HbA1c group were slightly higher than those of the normal control group(P>0. 05). <br> · CONCLUSION: HbA1c is positively correlated with macular retinal thickness after cataract surgery, and it can be used for monitoring the occurrence and development of macular edema after cataract surgery. For patients whose preoperative HbA1c is higher than 7%, the application of active intervention is needed to protect the visual function.关键词
白内障术/糖化血红蛋白/糖尿病Key words
cataract surgery/glycosylated hemoglobin/diabetes mellitus引用本文复制引用
周绍英,王真艳,高淼..监测糖化血红蛋白在糖尿病患者白内障术后的应用价值[J].国际眼科杂志,2017,17(3):485-487,3.