消毒时机的选择对内眼手术患者术后眼内感染的影响研究

发布时间：2018-04-30 15:29

  本文选题：消毒时机 + 内眼手术　； 参考：《中华医院感染学杂志》2014年23期

【摘要】：目的探讨不同消毒时机对内眼手术患者术后眼内感染的预防效果,为减少眼科患者术后感染、提高预后提供参考。方法选择2011年6月-2013年6月眼科行白内障手术的1 264例患者作为观察对象,随机分为3组:A组421例,术前生理盐水冲洗+结膜囊冲洗+无痛碘结膜囊消毒,B组421例,术前生理盐水冲洗+结膜囊冲洗+无痛碘结膜囊消毒,待贴好眼贴膜后再进行生理盐水冲洗+结膜囊冲洗+无痛碘结膜囊消毒,C组422例,术前生理盐水冲洗+结膜囊冲洗+无痛碘结膜囊消毒+术后无痛碘结膜囊消毒;用无菌棉擦拭上下睑弯隆结膜并迅速放入肉汤试管进行结膜囊细菌培养,采用SPSS13.0软件对3组数据进行统计分析。结果 A、B、C 3组患者眼内感染率分别为11.16%、8.31%、5.45%,差异有统计学意义(P0.05);共检出105株病原菌,以金黄色葡萄球菌为主25株占23.81%,其次为枯草芽胞杆菌黑色变种芽胞19株占18.10%。结论术前生理盐水冲洗+结膜囊冲洗+无痛碘结膜囊消毒+术后无痛碘结膜囊消毒是预防内眼术后感染的有效措施,可以常规实施。
[Abstract]:Objective to explore the preventive effect of different disinfection time on postoperative intraocular infection in patients undergoing internal ophthalmic surgery, and to provide reference for reducing postoperative infection and improving prognosis of ophthalmic patients. Methods 1 264 patients undergoing cataract surgery from June 2011 to June 2013 were randomly divided into 3 groups: group A (n = 421) and group B (n = 421). The painless iodine conjunctival sac was irrigated with saline before operation, and 422 cases in group C were treated with saline to rinse the conjunctival sac after the application of eye patch, and then to rinse the conjunctival sac with normal saline for disinfecting painless iodide conjunctival sac. The painless iodide conjunctival sac was disinfected after disinfecting the painless iodine conjunctival sac with normal saline before operation, and the conjunctival sac was cleaned with aseptic cotton and quickly put into the broth test tube for bacterial culture of the conjunctival sac. Three groups of data were analyzed by SPSS13.0 software. Results the intraocular infection rate was 11.16% 8.31% and 5.45% (P < 0.05) respectively in group C, 105 strains of pathogenic bacteria were detected, 25 strains of Staphylococcus aureus accounted for 23.81%, followed by 19 strains of Bacillus subtilis var. nigra spores (18.10%). Conclusion the disinfection of painless iodide conjunctival sac after disinfection of iodide conjunctival sac with normal saline before operation is an effective measure to prevent intraocular and postoperative infection and can be carried out routinely.
【作者单位】： 永康]，

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