探讨老年白内障患者超声乳化术后眼部疼痛发生的原因。

选取2017年2月至2020年10月济南市第二人民医院收治的接受超声乳化手术的90例老年白内障患者，术后采用视觉模拟评分量表对眼部疼痛程度进行评估，并分析其原因。

术后28例患者自诉眼部疼痛，疼痛发生率为31.11%；轻度疼痛20例（71.43%），中度疼痛6例（21.43%），重度疼痛2例（7.14%）。其中手术相关因素导致术后眼部疼痛5例（17.86%），身体相关因素导致术后眼部疼痛8例（28.57%），心理因素导致术后眼部疼痛15例（53.57%）。

老年白内障患者超声乳化术后眼部疼痛受多种因素影响，临床应加强对老年白内障患者的心理干预、健康宣教及疼痛管理，术者应不断提高手术技能，从而减少患者术后眼部疼痛的发生。

To explore the causes of eye pain in elderly cataract patients after phacoemulsification.

Ninety elderly cataract patients who underwent phacoemulsification surgery at Ji'nan Second People's Hospital from February 2017 to October 2020 were selected. After the surgery, visual analogue scale was used to evaluate eye pain and analyze its causes.

Twenty-eight patients reported eye pain after surgery, with a pain incidence rate of 31.11%. There were 20 cases with mild pain (71.43%), 6 cases with moderate pain (21.43%), and 2 cases with severe pain (7.14%). There were 5 cases of postoperative eye pain caused by surgical related factors (17.86%), 8 cases of postoperative eye pain caused by patients' own factors (28.57%), and 15 cases of postoperative eye pain caused by psychological factors (53.57%).

Eye pain in elderly cataract patients after phacoemulsification is affected by many factors. In order to reduce the occurrence of postoperative eye pain, psychological intervention, health education and pain management should be strengthened in clinic, and the surgeon should continuously improve surgical skills.