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目的研究芪明颗粒联合普拉洛芬滴眼液预防糖尿病白内障超声乳化术后黄斑水肿的效果。方法选取在医院行白内障超声乳化术的糖尿病患者70例(70眼)为研究对象,随机分为2组,每组35例(35眼)。对照组采用妥布霉素地塞米松滴眼液治疗,观察组在对照组基础上加用芪明颗粒联合普拉洛芬滴眼液治疗。对比2组患者的最佳矫正视力、眼压、黄斑中心凹厚度以及黄斑水肿发生率。结果观察组患者施术3个月后除眼压外,上述指标均优于对照组(P<0.05)。结论普拉洛芬滴眼液和芪明颗粒联合应用可有效预防糖尿病白内障患者超声乳化术后黄斑水肿发生。
Objective To study the effect of shenming granule combined with pranoprofen eye drops in preventing macular edema after phacoemulsification of diabetic cataract. Methods Seventy patients (70 eyes) with diabetes mellitus who underwent cataract phacoemulsification in the hospital were selected and randomly divided into two groups (35 eyes). The control group was treated with tobramycin dexamethasone eye drops. The observation group was treated with stilberamine particles combined with pranoprofen eye drops on the basis of the control group. The best corrected visual acuity, intraocular pressure, foveal thickness and the incidence of macular edema were compared between two groups. Results In the observation group, except for intraocular pressure after 3 months of operation, the above indexes were better than those in the control group (P <0.05). Conclusion The combination of pranoprofen eye drops and Qiming granules can effectively prevent macular edema after phacoemulsification in patients with diabetic cataract.