白内障手术患者眼内炎的危险因素分析

发布时间：2018-11-24 15:09

【摘要】：目的探讨老年性白内障手术患者发生感染性眼内炎的危险因素,提出相应的干预对策,减少眼内炎发生,达到提高治疗效果的目的。方法选取2007年7月-2012年7月医院收治老年性白内障手术患者5 724例(6 813眼),对其性别、年龄、基础疾病、手术方法、手术切口以及手术情况进行回顾分析和统计,数据采用SPSS13.0软件进行统计分析。结果 5 724例患者(6 813眼)共发生感染性眼内炎10例(10眼),感染率为0.15%;年龄≥70岁、患有高血压、糖尿病、手术过程中有玻璃体溢出、以普通囊外白内障摘除术方式进行手术、手术时间≥1h的老年性白内障手术患者发生感染性眼内炎的概率高于其他患者,差异有统计学意义(P0.05);经过logistic回归分析,玻璃体溢出、手术时间≥1h、合并糖尿病、患者年龄≥70岁以及采取白内障摘除术(ECCE)法手术是老年性白内障手术患者发生感染性眼内炎的独立危险因素(P0.05)。结论在临床和护理工作中应针对这些因素的影响机制,采取相应的预防措施、术后护理指导等进行相应干预,降低眼内炎发生概率,改善患者的预后,提高手术的成功率。
[Abstract]:Objective to explore the risk factors of infective endophthalmitis in senile cataract patients, and put forward corresponding intervention measures to reduce the incidence of endophthalmitis and to improve the therapeutic effect. Methods from July 2007 to July 2012, 5 724 cases (6 813 eyes) of senile cataract were treated in our hospital. Their sex, age, underlying diseases, surgical methods, surgical incision and operation conditions were analyzed retrospectively and statistically. The data were analyzed by SPSS13.0 software. Results Infectious endophthalmitis occurred in 10 cases (10 eyes) in 5 724 patients (6 813 eyes), and the infection rate was 0. 15%. Age 鈮，

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