| Objective:Detection of ocular tear film by ocular surface comprehensive analyzer,and observation of subjective clinical symptoms.The effect of Shumu fumigation on tear film stability after age-related cataract surgery was analyzed.To improve the quality of life after cataract surgery patients to provide effective Chinese medicine prescription.Methods:A total of 97 cases of senile cataract patients with the conditions of phacoemulsification and intraocular lens implantation were randomly selected in Harbin 242 hospital of China aviation industry.And divide the patients into three groups.The treatment group with Shu Mu San smoked eyes(n = 32 eyes).The control group with Boiling hot smoked eyes(n = 33 eyes).Blank control group(n = 32 eyes).All patients were examined for first time tear break up time(FTBUT),average tear break up time(ATBUT),non-invasive tear meniscus height(NITMH),meibomian gland scores and eye table index questionnaire score in preoperative 1 day,after 1 day,after 10 day and after 30 day.Results:(1)In blank control group,10 days after surgery,the patients with FTBUT,ATBUT and NITMH were all less than lday before surgery.And 30 days after surgery,the patients with FTBUT,ATBUT and NITMH were all less than 10 day before surgery.So,the difference between the two was statistically significant(P<0.05).1 day after surgery,FTBUT,ATBUT and NITMH were all higher than 10 days after surgery and 30 days after surgery,with statistical significance(P<0.05).(2)10 days after surgery,in group Boiling hot smoked eyes,FTBUT,ATBUT and NITMH were higher than those in the control group.And in group Shu Mu San smoked eyes,FTBUT,ATBUT and NITMH were higher than those in the Boiling hot smoked eyes group.So,the difference between the two was statistically significant(P<0.05).(3)30 days after surgery,in group Boiling hot smoked eyes,FTBUT,ATBUT and NITMH were higher than those in the control group.And in group Shu Mu San smoked eyes,FTBUT,ATBUT and NITMH were higher than those in the Boiling hot smoked eyes group.So,the difference between the two was statistically significant(P<0.05).(4)30 days after surgery,the level of meibomian gland was shown,there was no significant difference between group the control and group Boiling hot smoked eyes(Z=-0.114,P=0.909),and there was no significant difference between group the control and group Shu Mu San smoked eyes(Z=-1.487,P=0.137),and there was no significant difference between group Boiling hot smoked eyes and group Shu Mu San smoked eyes(Z=-1.404,P=0.160).(5)30 days after surgery,the dry eye index questionnaire showed.The subjective feeling of dry eye symptom was better in group Boiling hot smoked eyes than in group the control,and there was significant statistical significance(Z=-6.256,P=0.000).And the subjective feeling of dry eye symptom was better in group Shu Mu San smoked eyes than in group the control,and there was significant statistical significance(Z=-7.076,P=0.000).And there was no statistically significant difference between group Shu Mu San smoked eyes and group Boiling hot smoked eyes(Z=-1.192,P=0.233).Conclusion:1.Cataract phaco damage to patients-stability to a certain extent,this conclusion consistent with the results of the literature.2.Shumu San smoked eyes can improve the stability of tear film after cataract.Alleviate clinical symptoms and improve postoperative quality of life. |
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