老年性白内障手术围术期是否全身预防使用抗菌药物对比研究  

Comparative Study in Whether Use of Systemic Antibacterials on Patients with Senile Cataracta in Perioperative Period

作　　者：郭秀芳[1] 邓雅玲[1] 刘萍[1] 

机构地区：[1]彭州市人民医院,四川彭州611930

出　　处：《中国药房》2013年第6期536-538,共3页China Pharmacy

摘　　要：目的:探讨老年白内障手术围术期仅局部应用抗菌药物滴眼液的可行性。方法:采用回顾性分析方法,将我院2011年1-6月与2012年1-6月进入老年白内障临床路径行白内障手术的患者,为A、B组,A组围术期给予抗菌药物滴眼液+全身预防性使用,B组围术期仅眼局部给予抗菌药物滴眼液,比较2组患者眼内炎发生率。结果:2组患者术后眼内炎发生率均为0。结论:进入老年性白内障临床路径的患者,在白内障手术围术期可以仅眼局部应用抗菌药物滴眼液,而不需全身预防性使用抗菌药物。OBJECTIVE： To investigate the feasibility of local application of antimicrobial eye drops in senile cataract surgery during perioperative period. METHODS： By retrospective analysis, patients entering clinical pathway of senile cataract in my hospi- tal during Jan.--Jun. 2011 and Jan.--Jun. 2012 were divided into group A and group B. Group A was given antimicrobial eye drops combined with systemic prophylactic use of antimicrobial agents, and group B was given local application of antimicrobial eye drops alone. The incidences of endophthalmitis were compared between 2 groups. RESULTS： The incidences of endophthalmitis in 2 groups were both 0. CONCLUSIONS ： Patients entering clinical pathway of senile cataract only need the local application of anti- microbial eye drops during perioperative period, without systemic prophylactic use of antimicrobial agents.

关 键 词：老年白内障手术 临床路径 围术期 抗菌药物 

分 类 号：R978.1[医药卫生—药品] R776.1[医药卫生—药学]