本文選題：消毒時機 + 內眼手術��； 參考：《中華醫(yī)院感染學雜志》2014年23期

【摘要】：目的探討不同消毒時機對內眼手術患者術后眼內感染的預防效果,為減少眼科患者術后感染、提高預后提供參考。方法選擇2011年6月-2013年6月眼科行白內障手術的1 264例患者作為觀察對象,隨機分為3組:A組421例,術前生理鹽水沖洗+結膜囊沖洗+無痛碘結膜囊消毒,B組421例,術前生理鹽水沖洗+結膜囊沖洗+無痛碘結膜囊消毒,待貼好眼貼膜后再進行生理鹽水沖洗+結膜囊沖洗+無痛碘結膜囊消毒,C組422例,術前生理鹽水沖洗+結膜囊沖洗+無痛碘結膜囊消毒+術后無痛碘結膜囊消毒;用無菌棉擦拭上下瞼彎隆結膜并迅速放入肉湯試管進行結膜囊細菌培養(yǎng),采用SPSS13.0軟件對3組數據進行統計分析。結果 A、B、C 3組患者眼內感染率分別為11.16%、8.31%、5.45%,差異有統計學意義(P0.05);共檢出105株病原菌,以金黃色葡萄球菌為主25株占23.81%,其次為枯草芽胞桿菌黑色變種芽胞19株占18.10%。結論術前生理鹽水沖洗+結膜囊沖洗+無痛碘結膜囊消毒+術后無痛碘結膜囊消毒是預防內眼術后感染的有效措施,可以常規(guī)實施。
[Abstract]:Objective to explore the preventive effect of different disinfection time on postoperative intraocular infection in patients undergoing internal ophthalmic surgery, and to provide reference for reducing postoperative infection and improving prognosis of ophthalmic patients. Methods 1 264 patients undergoing cataract surgery from June 2011 to June 2013 were randomly divided into 3 groups: group A (n = 421) and group B (n = 421). The painless iodine conjunctival sac was irrigated with saline before operation, and 422 cases in group C were treated with saline to rinse the conjunctival sac after the application of eye patch, and then to rinse the conjunctival sac with normal saline for disinfecting painless iodide conjunctival sac. The painless iodide conjunctival sac was disinfected after disinfecting the painless iodine conjunctival sac with normal saline before operation, and the conjunctival sac was cleaned with aseptic cotton and quickly put into the broth test tube for bacterial culture of the conjunctival sac. Three groups of data were analyzed by SPSS13.0 software. Results the intraocular infection rate was 11.16% 8.31% and 5.45% (P < 0.05) respectively in group C, 105 strains of pathogenic bacteria were detected, 25 strains of Staphylococcus aureus accounted for 23.81%, followed by 19 strains of Bacillus subtilis var. nigra spores (18.10%). Conclusion the disinfection of painless iodide conjunctival sac after disinfection of iodide conjunctival sac with normal saline before operation is an effective measure to prevent intraocular and postoperative infection and can be carried out routinely.
【作者單位】： 永康]，

本文編號：1825105