青光眼患者手术后感染性眼内炎的临床分析

发布时间：2018-03-21 10:10

本文选题：青光眼　切入点：小梁切除术　出处：《中华医院感染学杂志》2014年22期 　论文类型：期刊论文

【摘要】：目的分析青光眼患者复合式小梁切除术后感染性眼内炎的临床危因素,并提出相应的防治对策,减少其发生。方法选取2001年3月-2013年5月行复合式小梁切除术的青光眼患者1 233例,对其临床资料进行回顾分析,对不同性别、年龄、青光眼类型、合并疾病以及治疗方案患者发生眼内炎的概率进行统计,并行logistic回归分析。结果 1 233例患者共发生眼内炎14例,发生率为1.14%;高龄、合并睑内翻倒睫、合并糖尿病、夏季、非层流手术室手术、未进行健康教育、未限制病房探视的患者发生眼内炎概率明显高于不存在上述因素的患者(P0.05);经多因素回归分析上述高危因素均为青光眼复合式小梁切除术感染性眼内炎的独立危险因素(P0.05)。结论青光眼复合式小梁切除术后感染性眼内炎的危险因素多样,应给予针对性的预防,一旦发生感染性眼内炎,应立即给予万古霉素联合玻璃体切割手术进行治疗。
[Abstract]:Objective to analyze the clinical risk factors of infectious endophthalmitis in glaucoma patients after combined trabeculectomy and to put forward corresponding preventive and therapeutic measures. Methods the clinical data of 1 233 glaucoma patients who underwent combined trabeculectomy from March 2001 to May 2013 were retrospectively analyzed. Results 14 cases (1.14%) of endophthalmitis were found in 1,233 patients, and the incidence rate was 1.14%, and the incidence of endophthalmitis was 1.14%, and the incidence of endophthalmitis was 1.14%, and the incidence of endophthalmitis was 1.14%, and the incidence of endophthalmitis was 1.14%. Non-laminar flow surgery without health education, The probability of developing endophthalmitis in patients with unconfined visits was significantly higher than that in patients without the above factors, and the risk factors mentioned above were all independent risk of infectious endophthalmitis in glaucoma trabeculectomy by multivariate regression analysis. Conclusion the risk factors of infectious endophthalmitis after combined trabeculectomy are various. Prevention should be given. Once infective endophthalmitis occurs, vancomycin combined with vitrectomy should be given immediately.
【作者单位】：绍兴市上虞区第二人民医院眼科;
【基金】：国家卫生部规划基金资助项目(GW-2009B-028)
【分类号】：R779.6

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