白内障术后眼内炎临床特点及治疗分析  

Clinical characteristics of endophthalmitis after cataract surgery and analysis of treatment

作　　者：汪怿[1] 李韧[1] 徐洁慧[1] 

机构地区：[1]浙江医院眼科,浙江杭州310012

出　　处：《中华医院感染学杂志》2014年第22期5640-5641,5644,共3页Chinese Journal of Nosocomiology

基　　金：浙江省医药卫生科技基金资助项目(2009B010)

摘　　要：目的探讨白内障术后感染眼内炎的临床特点及病原学特征,并分析治疗及转归,为临床诊治提供参考。方法分析2005年1月-2014年7月34例白内障术后感染眼内炎患者临床资料,总结临床特点,实施病原菌检测及针对性治疗,观察临床结局,采用SPSS 21.0软件进行统计分析。结果白内障术后眼内炎平均起病时间(27.39±9.18)d,主要症状有眼部刺激、视力下降;18例病原菌培养呈阳性,阳性率为52.94%,检出表皮葡萄球菌最多,有10株占55.56%;治疗后患者平均视力为0.28±0.11,脱盲率79.41%,41.18%患眼视力>0.3,相比治疗前均有明显改善,对比差异均有统计学意义(P<0.01)。结论白内障术后眼内炎对视力恢复影响较大,尽早干预治疗可以最大程度保障患者视力功能。OBJECTIVE To explore the clinical and etiological characteristics of postoperative endophthalmitis in the patients undergoing cataract surgery and analyze the clinical outcomes so as to provide guidance for clinical diagno‐sis and treatment .METHODS The clinical data of 34 patients with endophthalmitis who underwent the cataract surgery from Jan 2005 to Jul 2014 were analyzed ,the clinical characteristics were summarized ,the detection of pathogens and the targeted treatment were carried out ,the clinical outcomes were observed ,and the statistical a‐nalysis was performed by using SPSS 21 .0 software .RESULTS The mean onset time of endophthalmitis was （27 .39 ± 9 .18）days after the cataract surgery ;the eye irritation and the declined visual acuity were the major clini‐cal symptoms .Totally 18 cases were cultured positive for pathogens with the positive rate of 52 .94% ,and the Staphylococcus epidermidis was the predominant species of the pathogens isolated ,accounting for 55 .56% （10 strains ） .After the treatment ,the mean vision of the patients was 0 .28 ± 0 .11 ,the literacy rate was 79 .41% , and 41 .18% of the patients were with the visual acuity more than 0 .3 ,as compared with that before the treat‐ment ,the difference was statistically significant （P〈0 .01） .CONCLUSION The postoperative endophthalmitis has significant impact on the recovery of visual acuity of the patients undergoing cataract surgery ,and the early inter‐vention can protect the visual function of the patients to the greatest extent .

关 键 词：白内障 术后感染 眼内炎 病原学 治疗 

分 类 号：R619.3[医药卫生—外科学]