老年白内障患者术后眼内感染预防的护理研究

发布时间：2018-01-11 23:15

本文关键词：老年白内障患者术后眼内感染预防的护理研究　出处：《中华医院感染学杂志》2015年13期 　论文类型：期刊论文

【摘要】：目的探讨老年白内障患者眼内感染实施预防护理措施的临床效果,为临床预防感染提供依据。方法回顾性分析2012年1月-2013年1月94例(112眼)老年性白内障患者实施手术后视力、感染等临床资料,将其作为对照组;对2013年2月-2014年2月收治的102例(120眼)患者实施术前、术中、术后系统的预防性护理措施,将其作为观察组;观察两组患者感染发生率、视力恢复等,使用SPSS 16.0软件进行统计分析。结果观察组无感染发生,对照组感染5例、6例次,感染率5.32%、例次感染率6.38%,差异有统计学意义(χ2=9.218,P0.01);对照组5例感染,2例患者术后眼痛且角膜出现水肿,使用抗菌药物及甘露醇治疗后消退,术后8d出院;3例患者术后角膜分泌物增多且混浊,使用抗菌药物静脉滴注,结膜下注射地塞米松+妥布霉素+利多卡因,术后9d出院;对照组感染患者视力0.1~0.4,所有患者平均视力0.72±0.44,明显低于观察组患者0.82±0.41,对比差异有统计学意义(t=6.336,P0.05)。结论围手术期系统性的预防护理措施可明显降低感染发生的可能性,值得临床推广应用。
[Abstract]:Objective to investigate the clinical effect of preventive nursing measures on intraocular infection in senile cataract patients. Methods from January 2012 to January 2013, 94 cases (112 eyes) of senile cataract were analyzed retrospectively, such as visual acuity, infection and so on. They were used as control group. From February 2013 to February 2014, 102 cases (120 eyes) were treated with systematic preventive nursing measures before, during and after operation, as observation group. The incidence of infection and the recovery of visual acuity in the two groups were observed and analyzed by SPSS 16.0 software. Results there was no infection in the observation group and 6 cases in the control group. The infection rate was 5.32%. The rate of infection was 6.38, the difference was statistically significant (蠂 ~ 2 / 9.218g / kg, P = 0.01). In the control group, 2 patients with postoperative ocular pain and corneal edema were treated with antimicrobial agents and mannitol, and were discharged from hospital 8 days after operation. Corneal secretions were increased and turbid in 3 patients. Intravenous drip of antimicrobial agents and subconjunctival injection of dexamethasone tobramycin lidocaine were discharged 9 days after operation. The visual acuity of the infected patients in the control group was 0.40.The average visual acuity of all the patients was 0.72 卤0.44, which was significantly lower than that of the observation group (0.82 卤0.41). Conclusion systematic preventive nursing measures in perioperative period can significantly reduce the possibility of infection, and are worthy of clinical application.
【作者单位】：徐州市第一人民医院护理部;徐州市第一人民医院门诊部;徐州市第一人民医院感染科;济南市中心医院教育科;徐州市第一人民医院眼三科;
【基金】：江苏省自然科学基金资助项目(BK2013583)
【分类号】：R779.66
【正文快照】： 超声乳化技术在白内障手术治疗中应用广泛,随着对感染认识的不断加深,控制感染的手段也越来越多,术后感染发生率较10年前已经有很大降低。老年性白内障术后眼内感染一旦发生,后果非常严重,对患者视力造成严重损害,部分患者发生失明[1]。实施专业的系统化护理预防措施对感染预

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