非超声乳化白内障摘除联合人工晶体植入术后感染及危险因素分析

发布时间：2019-07-25 16:53

【摘要】：目的探讨非超声乳化白内障摘除联合人工晶体植入治疗白内障患者效果观察及术后感染性眼内炎发生情况,分析术后发生感染性眼内炎的相关危险因素。方法选取医院2014年1月-2016年12月收治的白内障患者700例,采用非超声乳化白内障摘除联合人工晶体植入治疗;观察术后1d、7d、1个月及3个月角膜散光度和最佳矫正视力,住院时间和术后感染性眼内炎发生情况,分析术后感染性眼内炎影响因素。结果术后7d、术后1个月、术后3个月角膜散光度和最佳矫正视力明显优于术后1d,差异均有统计学意义(P0.05);术后1个月和术后3个月角膜散光度明显低于术后7d,且术后3个月角膜散光度明显低于术后1个月,差异均有统计学意义(P0.05);而术后7d、术后1个月、术后3个月最佳矫正视力间比较差异无统计学意义;术后发生感染性眼内炎10例、感染率为1.43%;平均住院时间(3.78±0.84)d;单因素分析表明,年龄、住院时间、玻璃体溢出差异有统计学意义(P0.05);多因素分析表明,年龄、住院时间、玻璃体溢出为术后感染性眼内炎独立危险因素。结论非超声乳化白内障摘除联合人工晶体植入治疗白内障患者效果明显,术后感染性眼内炎感染率为1.43%,年龄、住院时间、玻璃体溢出为术后感染性眼内炎独立危险因素。
[Abstract]:Objective to investigate the effect of non-phacoemulsification cataract extraction combined with intraocular lens implantation in the treatment of cataract and the occurrence of infectious endophthalmitis after operation, and to analyze the risk factors of infective endophthalmitis after operation. Methods 700 patients with cataract from January 2014 to December 2016 were treated with non-phacoemulsification combined with intraocular lens implantation, corneal astigmatism, best corrected visual acuity, hospitalization time and postoperative infectious endophthalmitis were observed 1 day, 7 days and 3 months after operation, and the influencing factors of postoperative infectious endophthalmitis were analyzed. Results the corneal astigmatism and best corrected visual acuity at 7 days, 1 month and 3 months after operation were significantly better than those at 1 day after operation (P 0.05), and the corneal astigmatism at 1 month and 3 months after operation were significantly lower than those at 7 days after operation, and the corneal astigmatism at 3 months after operation was significantly lower than that at 1 month after operation (P 0.05). However, there was no significant difference in best corrected visual acuity between 7 days, 1 month and 3 months after operation. Infectious endophthalmitis occurred in 10 cases, the infection rate was 1.43%, and the average hospitalization time was (3.78 卤0.84) days. Univariate analysis showed that there were significant differences in age, hospitalization time and vitreous spillover (P 0.05). Multivariate analysis showed that age, hospitalization time and vitreous overflow were independent risk factors for postoperative infectious endophthalmitis. Conclusion non-phacoemulsification cataract extraction combined with intraocular lens implantation is effective in the treatment of cataract. The infection rate of infectious endophthalmitis after operation is 1.43%. Age, hospitalization time and vitreous overflow are independent risk factors for postoperative infectious endophthalmitis.
【作者单位】：衢州市第二人民医院院感科;衢州市第二人民医院眼科中心;
【基金】：浙江省医药卫生一般研究计划基金资助项目(2015KYA109)
【分类号】：R779.6

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