老年性白内障围手术期眼内炎的预防及易感因素分析

发布时间：2018-02-26 07:02

本文关键词： 白内障眼内炎手术后并发症　出处：《中华医院感染学杂志》2017年10期 　论文类型：期刊论文

【摘要】：目的探讨老年性白内障术后眼内炎感染的临床特点及不同预防措施的预防效果。方法选取2010年2月-2016年3月78例老年白内障术后发生眼内炎患者为病例组,另选78例老年白内障术后未发生眼内炎及其他并发症的患者为对照组,对比分析两组患者术前临床资料,观察白内障术后不同预防措施的预防效果。结果病例组合并高血压、糖尿病的患者高于对照组(P0.05);患者术后发生眼内炎中,表皮葡萄球菌感染率较高,感染率为76.92%,霉菌感染为10.26%,不同感染采用不同治疗方式对术后视力的恢复有重要意义。结论老年性白内障术后眼内炎是白内障术后严重的并发症,早期进行病原学检查和积极做好术前、术中眼内炎的预防,一旦发生白内障术后眼内炎,要根据病原菌特点采取不同治疗措施,有助于视功能的恢复。
[Abstract]:Objective to investigate the clinical characteristics of endophthalmitis infection after cataract surgery and the preventive effects of different preventive measures. Methods 78 cases with endophthalmitis after cataract surgery from February 2010 to March 2016 were selected as the case group. 78 cases of senile cataract patients without endophthalmitis and other complications were selected as control group. The clinical data of the two groups were compared and analyzed before operation, and the preventive effects of different preventive measures after cataract surgery were observed. The infection rate of Staphylococcus epidermidis was higher in the patients with diabetes than in the control group (P 0.05). The infection rate was 76.92%, the mycosis rate was 10.26%. Different methods of treatment were important for the recovery of postoperative visual acuity. Conclusion the postoperative endophthalmitis of senile cataract is a serious complication after cataract surgery. Early etiological examination and prevention of intraoperative endophthalmitis should be done well before and after cataract surgery. Different treatment measures should be taken according to the characteristics of pathogenic bacteria once cataract and postoperative endophthalmitis occurs, which is helpful to the recovery of visual function.
【作者单位】：河北省眼科医院白内障科河北省眼科学重点实验室河北省眼科研究所;
【基金】：河北省科技厅基金资助项目(20143031)
【分类号】：R779.6

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