【摘要】：目的探討老年性白內(nèi)障手術(shù)患者發(fā)生感染性眼內(nèi)炎的危險(xiǎn)因素,提出相應(yīng)的干預(yù)對(duì)策,減少眼內(nèi)炎發(fā)生,達(dá)到提高治療效果的目的。方法選取2007年7月-2012年7月醫(yī)院收治老年性白內(nèi)障手術(shù)患者5 724例(6 813眼),對(duì)其性別、年齡、基礎(chǔ)疾病、手術(shù)方法、手術(shù)切口以及手術(shù)情況進(jìn)行回顧分析和統(tǒng)計(jì),數(shù)據(jù)采用SPSS13.0軟件進(jìn)行統(tǒng)計(jì)分析。結(jié)果 5 724例患者(6 813眼)共發(fā)生感染性眼內(nèi)炎10例(10眼),感染率為0.15%;年齡≥70歲、患有高血壓、糖尿病、手術(shù)過程中有玻璃體溢出、以普通囊外白內(nèi)障摘除術(shù)方式進(jìn)行手術(shù)、手術(shù)時(shí)間≥1h的老年性白內(nèi)障手術(shù)患者發(fā)生感染性眼內(nèi)炎的概率高于其他患者,差異有統(tǒng)計(jì)學(xué)意義(P0.05);經(jīng)過logistic回歸分析,玻璃體溢出、手術(shù)時(shí)間≥1h、合并糖尿病、患者年齡≥70歲以及采取白內(nèi)障摘除術(shù)(ECCE)法手術(shù)是老年性白內(nèi)障手術(shù)患者發(fā)生感染性眼內(nèi)炎的獨(dú)立危險(xiǎn)因素(P0.05)。結(jié)論在臨床和護(hù)理工作中應(yīng)針對(duì)這些因素的影響機(jī)制,采取相應(yīng)的預(yù)防措施、術(shù)后護(hù)理指導(dǎo)等進(jìn)行相應(yīng)干預(yù),降低眼內(nèi)炎發(fā)生概率,改善患者的預(yù)后,提高手術(shù)的成功率。
[Abstract]:Objective to explore the risk factors of infective endophthalmitis in senile cataract patients, and put forward corresponding intervention measures to reduce the incidence of endophthalmitis and to improve the therapeutic effect. Methods from July 2007 to July 2012, 5 724 cases (6 813 eyes) of senile cataract were treated in our hospital. Their sex, age, underlying diseases, surgical methods, surgical incision and operation conditions were analyzed retrospectively and statistically. The data were analyzed by SPSS13.0 software. Results Infectious endophthalmitis occurred in 10 cases (10 eyes) in 5 724 patients (6 813 eyes), and the infection rate was 0. 15%. Age 鈮，

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