本文選題：結(jié)膜囊細(xì)菌培養(yǎng) + 內(nèi)眼手術(shù)�。� 參考：《延邊大學(xué)》2010年碩士論文

【摘要】： 目的：通過(guò)比較單純抗生素滴眼液滴眼、聯(lián)合結(jié)膜囊沖洗和再聯(lián)合術(shù)前全身應(yīng)用廣譜抗生素等三種措施后的結(jié)膜囊無(wú)菌化效果,探討內(nèi)眼手術(shù)前全身預(yù)防性應(yīng)用抗生素的必要性。 方法：隨機(jī)選擇200眼分為對(duì)照組(50眼)及實(shí)驗(yàn)組(150眼)。實(shí)驗(yàn)組隨機(jī)分為Ⅰ、Ⅱ、Ⅲ組,每組50眼。四組均在尚未干預(yù)結(jié)膜囊之前進(jìn)行結(jié)膜囊細(xì)菌培養(yǎng)。其中對(duì)照組應(yīng)用生理鹽水100ml沖洗；對(duì)第Ⅰ組50眼滴左氧氟沙星滴眼液,每天4次、連續(xù)滴3天后作結(jié)膜囊細(xì)菌培養(yǎng)；對(duì)第Ⅱ組50眼滴左氧氟沙星滴眼液并用生理鹽水100毫升沖洗結(jié)膜囊后作結(jié)膜囊細(xì)菌培養(yǎng)；對(duì)第Ⅲ組50眼滴3天左氧氟沙星滴眼液、靜脈點(diǎn)滴左氧氟沙星注射液100ml后1h時(shí)再用生理鹽水100毫升沖洗結(jié)膜囊后作結(jié)膜囊細(xì)菌培養(yǎng)。 結(jié)果：1.Ⅰ組50眼左氧氟沙星滴眼液滴眼前后結(jié)膜囊細(xì)菌培養(yǎng)陽(yáng)性率分別為34.0%和12.0%,前后細(xì)菌培養(yǎng)陽(yáng)性率差異有統(tǒng)計(jì)學(xué)意義(x2=6.832,P0.01)。2.第Ⅱ組50眼滴左氧氟沙星滴眼液3天并用生理鹽水100毫升沖洗結(jié)膜囊前后結(jié)膜囊細(xì)菌培養(yǎng)陽(yáng)性率分別為38.0%和8.0%,前后細(xì)菌培養(yǎng)陽(yáng)性率差異有統(tǒng)計(jì)學(xué)意義(x2=12.705,P0.01)。3.對(duì)第Ⅲ組50眼滴左氧氟沙星滴眼液、靜脈點(diǎn)滴左氧氟沙星注射液100ml后1h時(shí)再用生理鹽水100毫升沖洗結(jié)膜囊前后結(jié)膜囊細(xì)菌培養(yǎng)陽(yáng)性率分別為36.0%和4.0%。采用三種聯(lián)合措施前后細(xì)菌培養(yǎng)陽(yáng)性率差異有統(tǒng)計(jì)學(xué)意義(x2=16.000,P0.01)。4.Ⅰ、Ⅱ、Ⅲ組尚未干預(yù)結(jié)膜囊之前結(jié)膜囊細(xì)菌培養(yǎng)陽(yáng)性率分別為34.0%、38.0%和36.0%,三組間差異無(wú)統(tǒng)計(jì)學(xué)意義(x2=0.174,P0.05);而Ⅰ、Ⅱ、Ⅲ組采取三種不同結(jié)膜囊無(wú)菌化措施后結(jié)膜囊細(xì)菌培養(yǎng)陽(yáng)性率分別為12.0%、8.0%和4.0%,Ⅰ組和Ⅱ組、Ⅱ組和Ⅲ組間差異有統(tǒng)計(jì)學(xué)意義(x2=10.606,P0.01)。 結(jié)論：1.內(nèi)眼術(shù)前使用左氧氟沙星和生理鹽水沖洗結(jié)膜囊,是內(nèi)眼手術(shù)前預(yù)防眼內(nèi)感染的有效措施,可常規(guī)實(shí)施。2.術(shù)前1h靜脈使用左氧氟沙星注射液可明顯提高結(jié)膜囊細(xì)菌清除率,有助于預(yù)防內(nèi)眼手術(shù)后眼內(nèi)感染。
[Abstract]:Objective: To explore the aseptic effect of the conjunctival sac after three measures such as simple antibiotic drop eye drops, combined conjunctival sac flushing and reunion of broad spectrum antibiotics before operation, and to explore the necessity of systemic antibiotic application before operation.
Methods: randomly selected 200 eyes were divided into control group (50 eyes) and experimental group (150 eyes). The experimental group was randomly divided into group I, group II, group III and 50 eyes in each group. The four groups were cultured in conjunctival sac before the conjunctival sac was not intervened. The control group was washed with saline 100ml, and 50 eyes drop left Ofloxacin Eye Drops, 4 times a day, 3 in group I. The bacterial culture of conjunctival sac was made in the second group; 50 eyes drop left Ofloxacin Eye Drops and 100 ml of normal saline were used to develop conjunctival sac for bacterial culture. 3 days of 3 days left Ofloxacin Eye Drops in group 50, and after intravenous drip of Levofloxacin Injection 100ml after intravenous drip of 100 ml of normal saline, after the conjunctival sac was used as a knot. Culture of membrane capsule bacteria.
Results: the positive rate of bacterial culture of conjunctival sac before and after 1. eyes of 50 eyes in group 1. I was 34% and 12% respectively. The positive rate of the positive rate of bacterial culture before and after was statistically significant (x2=6.832, P0.01).2., group II, 50, 50 eyes, left Ofloxacin Eye Drops, 3 days and the culture of conjunctival sac before and after the conjunctival sac of 100 ml of physiological saline The rate of sex was 38% and 8% respectively. The positive rate of the positive rate of bacteria culture before and after was statistically significant (x2=12.705, P0.01).3. to group III, 50 eyes drop left Ofloxacin Eye Drops, intravenous drip of Levofloxacin Injection 100ml after 1h and 100 ml of physiological saline rinse conjunctival sac before and after the conjunctival sac bacteria culture positive rate was 36% and 4.0%. adopted, respectively. There was significant difference in the positive rate of bacterial culture before and after the three measures (x2=16.000, P0.01).4. I, II, group II, group III before the conjunctival sac bacteria culture positive rates were 34%, 38% and 36%, respectively, there was no statistical difference between the three groups (x2=0.174, P0.05); and I, II, III group adopted three different conjunctival sac aseptic measures The positive rates of bacterial culture in posterior conjunctival sac were 12%, 8% and 4%, respectively. There was significant difference between group II and group II, group II and group III (x2=10.606, P0.01).
Conclusion: 1. the treatment of conjunctival sac by using levofloxacin and saline before internal ophthalmic operation is an effective measure to prevent intraocular infection before internal ocular surgery. The routine implementation of 1H intravenous Levofloxacin Injection before.2. can obviously improve the bacterial clearance rate of conjunctival sac and help prevent intraocular infection after internal eye operation.
【學(xué)位授予單位】：延邊大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2010
【分類(lèi)號(hào)】：R779.6

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 王玨;沈志兵;;內(nèi)眼手術(shù)中脈絡(luò)膜上腔出血[J];中國(guó)社區(qū)醫(yī)師(醫(yī)學(xué)專(zhuān)業(yè));2011年19期

2 張悅;鄭紅;劉治容;多吉;嘉初丹巴;澤旺格瑪;李玉嬋;王光進(jìn);;甘孜州藏族中老年人結(jié)膜囊細(xì)菌狀況調(diào)查[J];四川醫(yī)學(xué);2011年08期

3 鄭紅;張悅;多吉;劉治容;嘉初丹巴;澤旺格瑪;王光進(jìn);李玉嬋;;甘孜州彝族中老年人結(jié)膜囊細(xì)菌狀況調(diào)查[J];實(shí)用醫(yī)院臨床雜志;2011年05期

4 梁品琪;盧宇玲;;加溫氯化鈉溶液在結(jié)膜囊沖洗中的應(yīng)用[J];中國(guó)誤診學(xué)雜志;2011年23期

5 李志剛;朱豫;李aa;胡新苗;;兔自體靜脈結(jié)膜囊-淚囊移植重建淚道吻合口愈合過(guò)程[J];廣東醫(yī)學(xué);2011年12期

6 張雅梅;;軟性角膜接觸鏡配戴相關(guān)性微生物研究[J];醫(yī)學(xué)信息(上旬刊);2011年05期

7 ;啟事[J];中國(guó)社區(qū)醫(yī)師(醫(yī)學(xué)專(zhuān)業(yè));2011年25期

8 張磊磊;;頭面部手術(shù)期間預(yù)防角膜損傷的改進(jìn)方法[J];中國(guó)誤診學(xué)雜志;2011年21期

9 趙自然;許蓮姬;劉鶴松;金珍婧;;罕見(jiàn)上下眼瞼及眉部嚴(yán)重毀損性全層缺損修復(fù)1例報(bào)告[J];吉林大學(xué)學(xué)報(bào)(醫(yī)學(xué)版);2011年03期

10 程杰;黃潔成;劉文舟;;綠膿桿菌性角膜潰瘍搶救成功1例[J];國(guó)際眼科雜志;2011年07期

相關(guān)會(huì)議論文 前10條

1 黃祥珍;龍克琴;梁甜;;內(nèi)眼手術(shù)前后點(diǎn)眼藥預(yù)防眼內(nèi)感染[A];全國(guó)第九次中醫(yī)、中西醫(yī)結(jié)合眼科學(xué)術(shù)年會(huì)論文匯編[C];2010年

2 鄧婕;;內(nèi)眼手術(shù)醫(yī)院感染的防控[A];全國(guó)醫(yī)院感染護(hù)理新進(jìn)展研討會(huì)論文匯編[C];2010年

3 黃祥珍;龍克琴;梁甜;;內(nèi)眼手術(shù)前后點(diǎn)眼藥預(yù)防眼內(nèi)感染[A];中華護(hù)理學(xué)會(huì)2009全國(guó)五官科護(hù)理學(xué)術(shù)交流暨專(zhuān)題講座會(huì)議論文匯編[C];2009年

4 周冬蘭;;三種結(jié)膜囊沖洗液在內(nèi)眼術(shù)前的臨床應(yīng)用效果分析[A];全國(guó)五官科護(hù)理學(xué)術(shù)交流暨專(zhuān)題講座會(huì)議論文匯編[C];2007年

5 邊立娟;;0.25%國(guó)產(chǎn)聚維酮碘在白內(nèi)障術(shù)前結(jié)膜囊沖洗中的應(yīng)用研究[A];中華護(hù)理學(xué)會(huì)2009全國(guó)五官科護(hù)理學(xué)術(shù)交流暨專(zhuān)題講座會(huì)議論文匯編[C];2009年

6 黃翠麗;;一次性輸液管包裝袋在結(jié)膜囊沖洗術(shù)中的應(yīng)用[A];全國(guó)五官科護(hù)理學(xué)術(shù)交流暨專(zhuān)題講座會(huì)議論文匯編[C];2008年

7 龔余丹;王穎君;陳新強(qiáng);;幼兒結(jié)膜囊內(nèi)結(jié)膜吸吮線蟲(chóng)病1例[A];2011年浙江省眼科學(xué)術(shù)會(huì)議論文集[C];2011年

8 馬，

本文編號(hào)：1924651