【摘要】：目的比較不同消毒方式預(yù)防白內(nèi)障患者術(shù)后眼內(nèi)感染的臨床療效,為臨床工作提供依據(jù)。方法選取2012年5月-2015年8月醫(yī)院進(jìn)行白內(nèi)障超聲乳化手術(shù)的100例患者作為研究對象,將所有患者隨機(jī)分為3組:A組患者33例術(shù)前聚維酮碘沖洗1次,B組患者33例術(shù)前聚維酮碘沖洗兩次,C組患者34例術(shù)前術(shù)后聚維酮碘各沖洗1次;比較各組患者術(shù)前與術(shù)后細(xì)菌的檢出率,術(shù)后感染的發(fā)生率和術(shù)后癥狀評分及淚液分泌;采用SPSS 16.0軟件進(jìn)行統(tǒng)計分析。結(jié)果 A組患者術(shù)前共12例,占36.36%檢查細(xì)菌培養(yǎng)陽性;B組術(shù)前11例,占33.33%細(xì)菌培養(yǎng)陽性;C組12例,占36.36%細(xì)菌培養(yǎng)結(jié)果陽性,各組患者的細(xì)菌培養(yǎng)結(jié)果陽性率差異無統(tǒng)計學(xué)意義;患者術(shù)后病原菌檢出率、癥狀評分和淚液分泌(Slt)比較,差異有統(tǒng)計學(xué)意義(P0.05)。結(jié)論術(shù)前聚維酮碘沖洗二次可降低白內(nèi)障患者術(shù)后眼內(nèi)感染的發(fā)生風(fēng)險,且不增加不良反應(yīng)發(fā)生率。
[Abstract]:Objective to compare the efficacy of different disinfection methods in preventing intraocular infection after cataract surgery. Methods 100 patients undergoing phacoemulsification from May 2012 to August 2015 were selected. All the patients were randomly divided into 3 groups: group A (n = 33), group B (n = 33), group C (n = 34), group C (n = 34); The detection rate of bacteria before and after operation, the incidence of postoperative infection, the score of postoperative symptoms and the secretion of tear were compared in each group, and the statistical analysis was carried out by SPSS 16.0 software. Results there were 12 patients (36.36%) in group A, 11 cases in group B, 12 cases in group C (33.33%), and 36.36% (36.36%) in group C. There was no significant difference in the positive rate of bacterial culture in each group. The detection rate of pathogenic bacteria, symptom score and tear secretion (Slt) were significantly different after operation (P0.05). Conclusion preoperative povidone iodine irrigation can reduce the risk of intraocular infection in cataract patients and does not increase the incidence of adverse reactions.
【作者單位】： 鄭州市中心醫(yī)院眼科;鄭州市中心醫(yī)院心內(nèi)科;
【基金】：國家自然科學(xué)基金資助項目(1400470695)
【分類號】：R779.66
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本文編號：2200785