健康研究2024，Vol.44Issue(6)：706-710,5.DOI:10.19890/j.cnki.issn1674-6449.2024.06.021
老年白内障患者术后眼压升高的影响因素分析
Influencing factors of postoperative intraocular pressure elevation in elderly patients with cataract
摘要
Abstract
Objective To explore the postoperative intraocular pressure elevation status in elderly patients with cataract,and analyze its related influencing factors,so as to provide reference for improving the prognosis of patients.Methods The clinical data of 406 elderly patients with cataract were reviewed.According to the occurrence of elevated intraocular pressure at 7 days after surgery,the patients were divided into elevated group(intraocular pressure>21 mmHg)and normal group(intraocular pressure of 10-21 mmHg).The differences in clinical data were compared.Binary Logistic regression analysis was applied to analyze the independent factors affecting postoperative intraocular pressure elevation in elderly patients with cataract.Results There were 35 cases of elevated postoperative intraocular pressure among 406 patients,and the incidence of postoperative intraocular pressure elevation in elderly cataract patients was 8.6%.Univariate analysis showed that there were statistically significant differences in age,surgical duration,intraoperative viscoelastic residue,postoperative intraocular pressure fluctuation,concurrent diabetes mellitus,presence of high myopia and ocular inflammatory reaction between the two groups(P<0.05).Binary Logistic regression analysis found that age(≥75 years old),surgical time(≥3 h),presence of intraoperative viscoelastic residue,postoperative intraocular pressure fluctuation(≥8 mmHg),concurrent diabetes mellitus,presence of high myopia and ocular inflammatory reaction were independent risk factors for postoperative intraocular pressure elevation in elderly patients with cataract(P<0.05).Conclusions There is a certain proportion of elevated intraocular pressure in elderly cataract patients after surgery,which may be affected by age,surgical time,intraoperative viscoelastic residue,postoperative intraocular pressure fluctuation,diabetes mellitus,high myopia,ocular inflammatory reaction and other factors.It is suggested that targeted measures should be taken to prevent postoperative intraocular pressure elevation.关键词
老年/白内障/术后/眼压升高/影响因素Key words
elderly/cataract/postoperative/intraocular pressure elevation/influencing factors分类
医药卫生引用本文复制引用
吴懿,朱瑜,徐奕睿..老年白内障患者术后眼压升高的影响因素分析[J].健康研究,2024,44(6):706-710,5.基金项目
浙江省医药卫生科技计划项目(2022KY1435) （2022KY1435）
