临时人工角膜下玻璃体切割围手术期感染因素分析

发布时间：2018-01-29 20:53

本文关键词： 临时人工角膜玻璃体切割感染因素防范对策　出处：《中华医院感染学杂志》2014年05期 　论文类型：期刊论文

【摘要】：目的分析临时人工角膜下玻璃体切割围手术期的感染因素,更好地预防与控制该类手术后感染的发生。方法分析18例临时人工角膜下玻璃体切割手术患者临床资料,健全规章制度,加强手术人员培训,严格临时人工角膜及器械消毒管理制度,规范角膜保存及管理,强化手术人员的无菌观念及医院感染意识。结果通过各项防范措施,最大限度地预防及控制了临时人工角膜下玻璃体切割手术感染的发生,规范了该类手术围手术期感染控制流程,增强了手术人员无菌观念及医院感染意识,保证了手术安全,有效地防止了医院感染的发生。结论健全规章制度、加强人员培训、规范围手术期各种无菌操作、确保医院感染管理制度的落实,是有效预防及控制临时人工角膜下玻璃体切割手术后感染发生的关键。
[Abstract]:Objective to analyze the infection factors in the perioperative period of vitrectomy under temporary artificial cornea. Methods the clinical data of 18 patients undergoing temporary vitrectomy under artificial cornea were analyzed, the rules and regulations were improved, and the training of surgical personnel was strengthened. The disinfection management system of temporary artificial cornea and instruments was strictly enforced, corneal preservation and management were standardized, and the consciousness of asepsis and nosocomial infection of surgical personnel was strengthened. Results the preventive measures were adopted. It can prevent and control the infection of temporary vitrectomy under artificial cornea to the maximum extent, standardize the infection control process in perioperative period of this kind of surgery, and enhance the consciousness of aseptic and nosocomial infection of surgical personnel. The safety of the operation was ensured and the nosocomial infection was prevented effectively. Conclusion the rules and regulations should be improved, the training of personnel should be strengthened, and all kinds of aseptic operation should be standardized during the perioperative period, so as to ensure the implementation of the hospital infection management system. It is the key to prevent and control infection after vitrectomy.
【作者单位】：解放军总医院麻醉手术中心;
【基金】：北京市科技新星基金项目(2012072)
【分类号】：R779.6
【正文快照】： 临时人工角膜下玻璃体切割术联合穿透性角膜移植术,是目前治疗眼球前后段严重外伤或病变的唯一可行性方法。临床上由于角膜供体不足,玻璃体手术操作对角膜植片产生损伤导致角膜移植的失败及眼后段手术需要等因素,往往先行临时人工角膜下玻璃体切割,再二期进行角膜移植术。该类

【参考文献】