聚维酮碘皮肤消毒预防白内障手术感染的研究

发布时间：2019-04-25 15:06

【摘要】：目的探讨采用0.5%聚维酮碘对眼周皮肤消毒预防白内障术后感染的临床疗效,为临床治疗提供参考依据。方法选取1 200例、1 500眼2012年1月-2013年12月就诊的有白内障手术指征的患者作为研究对象,随机分成试验组和对照组,每组750眼;试验组在清洁擦拭后,用0.5%聚维酮碘消毒,对照组仅用消毒棉签消毒;观察患者有无眼内炎的发生,并嘱患者填写眼部不适情况调查表。结果试验组750眼均未发生眼内感染,对照组750眼中发生眼内炎7眼,其发生率为0.93%,试验组的感染发生率明显低于对照组,差异有统计学意义(P0.05);试验组术后异物感、刺痛感的发生率低于对照组,差异有统计学意义(P0.05)。结论对白内障患者术后采用0.5%聚维酮碘进行眼周皮肤消毒,可以降低术后感染的发生,同时还能够减少术后眼部的不适感,安全性良好、临床疗效满意。
[Abstract]:Objective to investigate the clinical efficacy of 0.5% povidone iodine in preventing postoperative cataract infection by disinfection of periocular skin, and to provide reference for clinical treatment. Methods from January 2012 to December 2013, 1 200 patients (1,500 eyes) with cataract indications were randomly divided into test group and control group (750 eyes in each group), and the patients were randomly divided into two groups: the experimental group (750 eyes) and the control group (750 eyes). After cleaning and wiping, the test group was sterilized with 0.5% povidone iodine, while the control group was disinfected only with disinfectant cotton, and the occurrence of endophthalmitis was observed, and the patients were asked to fill out the questionnaire about the discomfort of the eyes. Results the incidence of endophthalmitis was 0.93% in 750 eyes of control group. The incidence of endophthalmitis in test group was significantly lower than that in control group (P0.05). The incidence of foreign body sensation and pricking sensation in the experimental group was lower than that in the control group, the difference was statistically significant (P0.05). Conclusion 0.5% povidone iodine is used to disinfect the skin around the eyes after cataract surgery, which can reduce the incidence of postoperative infection, and also reduce the postoperative discomfort of the eye, safety is good, and the clinical efficacy is satisfactory. [WT5 "HZ] conclusion [WT5" BZ] [WT5 "BZ]
【作者单位】：临安市人民医院眼科;
【基金】：浙江省卫生厅基金资助项目(ZW-2010B-039)
【分类号】：R779.66

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