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医学免费论文:复明九号车仙桃基地白内障复明手术临床观察
【摘要】 目的：回顾分析湖北省复明九号车仙桃基地为期25d，免费为贫困白内障患者施行白内障复明手术的临床疗效。方法：为经过严格筛查适合手术复明的贫困白内障患者，施行白内障超声乳化吸除术（或小切口非超声乳化白内障摘除术)及人工晶状体植入术。结果：本组270眼术后视力：1.2者2眼，1.0者25眼，0.8者21眼，0.6者48眼，0.5者33眼，0.4者33眼。共162眼，占60.00%。低视力：二级低视力0.3者46眼，0.2者33眼，一级低视力0.1者4眼，0.09～0.05者2眼。共85眼，占31.48%。盲：二级盲0.04～0.02者15眼，一级盲：指数8眼。共23眼，占8.52%。脱盲率91.48%。脱残率77.03%。结论：只有精心的术前筛查，规范的把握适应证和娴熟的手术技能，全程严格控制感染，才能保证手术车上短期大量手术的质量。而脱盲率和脱残率的高低，则主要由患者群自身综合因素决定。
【关键词】 复明九号车；贫困白内障患者；手术治疗
Clinical observation of Fuming No.9 cars cataract operation in Xiantao baseFeng Xu, XiongWu Zhou, HaiXia Liu, Bin Zhou, YaQin Guo, HuiLin HuangDepartment of Ophthalmology,Traditional Chinese Medicine Hospital of Xiantao, Xiantao 433000, Hubei Province, China; Department of Ophthalmology, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, Wuhan 430030, Hubei Province, China; Association for the Handicapped of Hubei Province, Wuhan 430000, Hubei Province, ChinaAbstractAIM: To look back and analyse clinical effect of free cataract operation on poor cataract patients by Fuming No.9 car of Hubei Province staying in Xiantao for 25 days.METHODS: The poor cataract patients who were strictly selected and suitable to operation were performed small incision nonphacoemulsification cataract extraction and intraocular lens implantation.RESULTS: The 270 eyes postoperation vision in our group: 1.2 (2 eyes), 1.0 (25 eyes), 0.8 (21 eyes), 0.6 (48 eyes), 0.5 (33 eyes), 0.4 (33 eyes), totally 162 eyes and account for 60.00%. Low vision: second low vision 0.3 (46 eyes), 0.2 (33 eyes), first low vision 0.1 (4 eyes), 0.090.05 (2 eyes), totally 85 eyes and account for 31.48%. Blindness: second blindness 0.040.02 (15 eyes), first blindness (8 eyes), totally 23 eyes and account for 8.52%. Offblind rate: 91.48%. Offremnant rate:77.03%.CONCLUSION: Only through careful preoperation selection, standard holding suitability, proficient operation skills and strictly controlling infection, can the quality of mass operation be guaranteed in operation car in a short time.However, the high and low of offblind rate and offremnant rate are primarily decided by the composite factors of patients themselves医.学全.在.线网站www.med126.com.
KEYWORDS: Fuming No.9 car; poor cataract patients; operative treatment
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