聚维酮碘消毒液与氯化钠注射液洗眼效果的比较  

Comparison of Ocular Rinse Effect of Povidone Iodine Solution with Sodium Chloride Solution

作　　者：李伟[1] 林萍[2] 孙士营[3] 王本敏[1] 

机构地区：[1]山东省眼科研究所暨青岛眼科医院药剂科,山东青岛266071 [2]山东省眼科研究所暨青岛眼科医院医务部,山东青岛266071 [3]山东省眼科研究所暨青岛眼科医院检验科,山东青岛266071

出　　处：《中华医院感染学杂志》2009年第5期546-547,553,共3页Chinese Journal of Nosocomiology

摘　　要：目的观察眼结膜囊术前使用聚维酮碘消毒液与0.9%氯化钠注射液洗眼效果。方法选择80例老年性白内障手术患者随机分成A、B两组,入院后两组均于未用0.3%氧氟沙星滴眼液滴眼前及滴眼24 h后对结膜囊采样进行细菌培养;手术前使用聚维酮碘消毒液冲洗结膜囊(A组);使用0.9%氯化钠注射液冲洗结膜囊(B组);再分别对A、B两组取样进行结膜囊细菌培养,比较两组洗眼的效果。结果白内障患者术前未使用及使用0.3%氧氟沙星滴眼液滴眼24 h后结膜囊细菌培养阳性率分别为58.8%、27.5%;碘消毒液、0.9%氯化钠注射液分别洗眼后细菌培养阳性率分别为5.0%、20.0%。结论术前通过结膜囊的冲洗达到降低细菌培养阳性率,从而降低术后感染的发生概率,将聚维酮碘消毒液术前冲洗结膜囊作为内眼手术的常规。OBJECTIVE To observe and compare the effects of conjunctival sac rinse of povidone iodine solution with sodium chloride solution. METHODS Eighty patients with senile cataract were randomly divided into 2 groups （group A and group B）. Swab samples were taken for bacterial cultures from each patients of both groups before and 24 hours after application of 0. 3% ofloxaein eye drops. Povidone iodine solution was used to rinse the coniunctival sac before cataract surgery in group A while 0.9% sodium chloride solution was used in group B, and swab samples were also taken for bacterial cultures. RESULTS Positive rates of the bacterial cultures before and after topical ofloxacin application were 58. 8% and 27.5%, respectively. Positive rates of the bacterial cultures after conjunctival sac rinse with povidone iodine and sodium chloride were 5. 0% and 20. 0%, respectively. CONCLUSIONS Conjunctival sac rinse with povidone iodine solution should be taken as a routine procedure before intraocular surgery to decrease the risk of postoperative infections.

关 键 词：聚维酮碘 氯化钠注射液 结膜囊 眼内容炎 

分 类 号：R187.2[医药卫生—流行病学]