不同消毒方式预防白内障患者术后眼内感染的临床效果分析

发布时间：2018-08-24 12:12

【摘要】：目的比较不同消毒方式预防白内障患者术后眼内感染的临床疗效,为临床工作提供依据。方法选取2012年5月-2015年8月医院进行白内障超声乳化手术的100例患者作为研究对象,将所有患者随机分为3组:A组患者33例术前聚维酮碘冲洗1次,B组患者33例术前聚维酮碘冲洗两次,C组患者34例术前术后聚维酮碘各冲洗1次;比较各组患者术前与术后细菌的检出率,术后感染的发生率和术后症状评分及泪液分泌;采用SPSS 16.0软件进行统计分析。结果 A组患者术前共12例,占36.36%检查细菌培养阳性;B组术前11例,占33.33%细菌培养阳性;C组12例,占36.36%细菌培养结果阳性,各组患者的细菌培养结果阳性率差异无统计学意义;患者术后病原菌检出率、症状评分和泪液分泌(Slt)比较,差异有统计学意义(P0.05)。结论术前聚维酮碘冲洗二次可降低白内障患者术后眼内感染的发生风险,且不增加不良反应发生率。
[Abstract]:Objective to compare the efficacy of different disinfection methods in preventing intraocular infection after cataract surgery. Methods 100 patients undergoing phacoemulsification from May 2012 to August 2015 were selected. All the patients were randomly divided into 3 groups: group A (n = 33), group B (n = 33), group C (n = 34), group C (n = 34); The detection rate of bacteria before and after operation, the incidence of postoperative infection, the score of postoperative symptoms and the secretion of tear were compared in each group, and the statistical analysis was carried out by SPSS 16.0 software. Results there were 12 patients (36.36%) in group A, 11 cases in group B, 12 cases in group C (33.33%), and 36.36% (36.36%) in group C. There was no significant difference in the positive rate of bacterial culture in each group. The detection rate of pathogenic bacteria, symptom score and tear secretion (Slt) were significantly different after operation (P0.05). Conclusion preoperative povidone iodine irrigation can reduce the risk of intraocular infection in cataract patients and does not increase the incidence of adverse reactions.
【作者单位】： 郑州市中心医院眼科;郑州市中心医院心内科;
【基金】：国家自然科学基金资助项目(1400470695)
【分类号】：R779.66
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本文编号：2200785