白内障术后感染性眼内炎危险因素分析  

Analysis on the risk factors of infectious endophthalmitis after cataract surgery

作　　者：陈建丽[1] 韩英军[1] 赵欣[1] 文娟[1] 马轩[1] 

机构地区：[1]北京市仁和医院眼科,北京102600

出　　处：《中华眼外伤职业眼病杂志》2016年第9期707-710,共4页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的分析白内障术后发生感染性眼内炎的危险因素。方法我院2011年1月至2014年1月白内障手术4500例（4500眼），统计术后发生感染性眼内炎患者比例，统计患者的基础资料（性别、年龄、白内障类型、局部因素、全身因素）及手术情况（切口方式、手术方式、人工晶状体植入、手术时间）。分析白内障术后感染性眼内炎发生因素。并对患者进行跟踪随访、观察治疗效果。结果本组白内障手术4500例中发生感染性眼内炎23例，发生率为0．51％，患有眼部其他疾病、伴发基础疾病、颞侧切口、后囊破裂、白内障囊外摘除术、联合人工晶状体植入以及手术耗时≥30min者术后感染性眼内炎的发生率更高（X2=5．83，P=0．03；X2=7．01，P=0．01；X2=5．88，P=0．02；X2=5．16，P=0．03：，=13．67，P=0．00；X2=7．02，P=0．01；X2=6．46，P=0．01；P〈0．05）；23例感染性眼内炎经过前房冲洗联合玻璃体内注药术治疗，炎症均得以控制，视力显著提高。结论眼科临床工作者应该了解白内障术后发生感染性眼内炎的危险因素，针对危险因素采取有效的预防措施，降低感染性眼内炎的发生率；还应掌握正确的治疗方案，以期获得良好的治疗效果。Objective To analyze the risk factors of infectious endophthalmitis after cataract surgery＇. Methods The data of 4500 eyes of 4500 cases of cataract surgeries in January 2011 to January 2014 in our hospital were collected, and the proportion of infectious endophthalmitis was calculated. Tile basic information （gender, age, local factors, systemic factors） and the surgery information （incision approach, surgical approach, intraocular lens implantation, surgery time ） were recorded. And the risk factors of infectious cndophthalmitis were analyzed. The patients with infectious endophthalmitis were followed up and their therapeutic effects were observed. Results In those 4500 cases with cataract surgery, 23 cases developed infectious endophthalmitis and the incidence rate was 0.51%. Patients with other eye diseases, basic deseases, temporal incision, posterior capsule rupture, extracapsular cataract extraction, IOL implantation and surgical time over than 30 rain had higher incidence of postoperative infectious endophthalmitis （X2 = 5.83, P = 0. 03 ;X2 = 7.01, P = 0. 01 ;X2 = 5.88, P = O. 02 ;X2 = 5.16, P = O. 03 ;X2 = 13.67,P = 0. 00 ;X2 = 7.02, P = 0. 01 ;X2 = 6. 46, P = 0. 01 ; P 〈 0.05 ）. After anterior chamber irrigation combined with intravitreal injection treatment, the inflammation was controlled and the visual acuity improved. Conclusion Ophthalmic clinicians should be aware of the risk factors of infections endophthalmitis after cataract surgery, and take effective preventive measures to reduce the occurrence of infectious endophthalmitis. Besides, they also need to master the right treatment methods to get a good curative effect.

关 键 词：白内障 手术 眼内炎感染性 危险因素 

分 类 号：R779.6[医药卫生—眼科]