不同消毒冲洗方法对术后眼内感染的预防效果研究
发布时间：2019-08-01 13:51
【摘要】：目的比较不同的消毒冲洗的方法对术后眼内感染的预防效果,以降低白内障患者手术的感染风险。方法选取2012年10月-2013年9月在眼科行白内障手术的患者99例,随机分成3组,每组各33例,第1组患者采用聚维酮碘消毒结膜囊、生理盐水清洗和贴眼膜做手术;第2组患者在第1组的基础上再行聚维酮碘消毒结膜囊、生理盐水清洗后做手术;第3组术前采取聚维酮碘消毒结膜囊,0.9%生理盐水冲洗,贴眼贴膜后开始手术,术毕再次对结膜囊无痛碘消毒生理盐水冲洗,直接包眼;采用比较调查3组患者的眼内感染率、细菌培养结果和患者的术后满意度,所有数据采用SPSS18.0分析。结果患者眼内细菌培养阳性率第1组为15.15%、第2组为12.12%、第3组为12.12%,3组感染率差异无统计学意义。结论 3种消毒冲洗的方法对术后眼内感染的预防效果均较好,为了缩短手术时间和节约资源,可选取步骤最少的聚维酮碘消毒结膜囊、生理盐水清洗,贴眼膜立即进行眼科手术。
[Abstract]:Objective to compare the preventive effect of different disinfection and washing methods on intraocular infection after operation in order to reduce the risk of infection in cataract patients. Methods from October 2012 to September 2013, 99 patients undergoing cataract surgery in ophthalmology were randomly divided into three groups, 33 patients in each group, the first group was treated with povidone iodine disinfection conjunctival capsule, saline cleaning and ophthalmic membrane surgery, the second group was treated with povidone iodine disinfection conjunctival capsule, and the patients in group 2 were treated with povidone iodine disinfection conjunctival capsule and normal saline cleaning. In the third group, the conjunctival capsule was sterilized with povidone iodine before operation, 0.9% saline was washed with saline, and the operation began after sticking the eye. After operation, the conjunctival capsule was washed with painless iodine disinfection saline directly, and the intraocular infection rate, bacterial culture results and postoperative satisfaction of the patients in the three groups were compared and investigated, and all the data were analyzed by SPSS18.0. Results the positive rate of bacterial culture in group 1 was 15.15%, that in group 2 was 12.12%, and that in group 3 was 12.12%. There was no significant difference in the infection rate among the three groups. Conclusion the three disinfection and washing methods have good preventive effect on intraocular infection after operation. In order to shorten the operation time and save resources, povidone iodine disinfection conjunctival capsule with the least steps can be selected, normal saline cleaning and ophthalmic surgery can be carried out immediately.
【作者单位】： 滨州市人民医院眼科;滨州市人民医院手术室;
【基金】：青岛市科技局基金资助项目(05-1-NS-77)
【分类号】：R779.66
[Abstract]:Objective to compare the preventive effect of different disinfection and washing methods on intraocular infection after operation in order to reduce the risk of infection in cataract patients. Methods from October 2012 to September 2013, 99 patients undergoing cataract surgery in ophthalmology were randomly divided into three groups, 33 patients in each group, the first group was treated with povidone iodine disinfection conjunctival capsule, saline cleaning and ophthalmic membrane surgery, the second group was treated with povidone iodine disinfection conjunctival capsule, and the patients in group 2 were treated with povidone iodine disinfection conjunctival capsule and normal saline cleaning. In the third group, the conjunctival capsule was sterilized with povidone iodine before operation, 0.9% saline was washed with saline, and the operation began after sticking the eye. After operation, the conjunctival capsule was washed with painless iodine disinfection saline directly, and the intraocular infection rate, bacterial culture results and postoperative satisfaction of the patients in the three groups were compared and investigated, and all the data were analyzed by SPSS18.0. Results the positive rate of bacterial culture in group 1 was 15.15%, that in group 2 was 12.12%, and that in group 3 was 12.12%. There was no significant difference in the infection rate among the three groups. Conclusion the three disinfection and washing methods have good preventive effect on intraocular infection after operation. In order to shorten the operation time and save resources, povidone iodine disinfection conjunctival capsule with the least steps can be selected, normal saline cleaning and ophthalmic surgery can be carried out immediately.
【作者单位】： 滨州市人民医院眼科;滨州市人民医院手术室;
【基金】：青岛市科技局基金资助项目(05-1-NS-77)
【分类号】：R779.66
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