某眼科医院集团内白内障围手术期预防用药现状研究

发布时间：2018-05-10 16:00

本文选题：预防性用药 + 聚维酮碘　；参考：《中南大学》2013年硕士论文

【摘要】：目的：了解某眼科医院集团白内障围手术期预防性用药的现状,分析影响医师围手术期预防性用药的影响因素。方法：通过横断面调查方法对某眼科医院集团在全国范围内的43家医院的白内障手术医师进行问卷调查,通过集团数据库收集白内障手术病历信启、,观察围手术期用药的情况。利用EPIDATA3.02进行数据录入,应用SPSS13.0软件包进行数据处理和分析。采用频数进行统计描述,用卡方检验对医师用药的影响因素进行单因素分析,用logistic回归对医师用药的影响因素进行多因素分析。结果：某眼科医院集团2011年白内障手术中,97.2%的病例术前使用抗生素滴眼,其中61.3%选用左氧氟沙星。所有患者均进行了结膜囊消毒,其中42.0%选用聚维酮碘,所使用聚维酮碘的浓度均不超过50g/L(5%),其中41%使用浓度在3g/L-5g/L(0.3%-0.5%)间。术中进行前房注入抗生素的比率为36.1%,其中52.9%采用头孢呋辛。所有病例术后均进行了抗生素滴眼,其中77.8%使用了妥布霉素。结论：医师的年龄、学历、从业年限、职称等因素对医生在白内障手术术前、术中预防性用药习惯有影响；制定权威性的预防性用药规范,加强集团内眼科医生预防性用药的管理与规范,有助于降低白内障手术术后并发症的发生率。
[Abstract]:Objective : To understand the current situation of preventive medication in cataract surgery in an eye hospital group , and to analyze the influencing factors of preventive medication during perioperative period .

Methods : A cross - sectional survey was conducted to investigate the patients with cataract operation in 43 hospitals nationwide . The data were collected by the group database . The data were recorded by using SPSS 13.0 software . The data were analyzed by SPSS 13.0 software . The factors influencing the drug use were analyzed by means of Chi - square test , and the factors affecting the medication were analyzed by logistic regression .

Results : In 2011 cataract surgery in an eye hospital group , 97.2 % of cases were treated with antibiotics before operation , 61.3 % of them selected Levofloxacin .

Conclusion : The doctor ' s age , educational background , service life , title and other factors influence the doctor ' s habit of preventive medication before and after cataract surgery .
Establish an authoritative standard of preventive medication , strengthen the management and regulation of preventive medication of ophthalmologists within the group , and help to reduce the incidence of complications after cataract surgery .

【学位授予单位】：中南大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R779.6

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