老年白内障患者人工晶体植入术后眼内感染的危险因素分析  

Risk factors of intraocular infection after implantation of intraocular lens in elderly patients with cataract

作　　者：陆晓兰[1] 丁春波[1] 陈晴[1] 林丹[1] 金璞[1] 陈静 LU Xiao-lan DING Chun-bo CHEN Qing LIN Dan JIN Pu CHEN Jing(Ningbo Second Hospital, Ningbo, Zhejiang 315010, China)

机构地区：[1]宁波市第二医院口腔眼科,浙江宁波315010 [2]柳州市工人医院超声科,广西柳州545005

出　　处：《中华医院感染学杂志》2017年第7期1594-1596,1600,共4页Chinese Journal of Nosocomiology

基　　金：广西壮族自治区卫生厅基金资助项目(Z2013615)

摘　　要：目的探讨老年白内障患者人工晶体植入术后眼内感染的危险因素,为临床预防和治疗提供理论依据。方法选择2011年2月-2015年6月8 000例老年白内障接受人工晶体植入术治疗的患者为研究对象,共27例患者发生感染,分析其感染因素。结果 8 000例老年白内障手术患者术后发生眼内感染27例,感染率为0.34%;logistic回归分析发现,年龄、透明角膜切口、手术时间、玻璃体溢出、合并糖尿病均为老年白内障患者术后眼内感染的独立危险因素(P<0.05)。结论老年白内障患者术后眼内感染的危险因素主要为高龄、透明角膜切口、手术时间长、术中玻璃体溢出、合并糖尿病等。OBJECTIVE To discuss the risk factors of intraocular infection after implantation of intraocular lens in elderly patients with cataract, so as to provide theoretical basis for clinical prevention and treatment. METHODS A total of 8000 elderly patients with cataract underwent implantation of intraocular lens from Feb. 2011 to Jun. 2015 were selected as the study objects. Totlly 27 patients were infected and the infection factors were analyzed. RESULTS There were 27 patients with intraocular infection after the surgery, and the infection rate was 0.34%. The logistic regression analysis showed that age, transparent cornea incision, operation time, vitreous overflow, and with diabetes mellitus were the independent risk factors of intraocular infection after the surgery in elderly pa- tients with cataract （P〈0.05）. CONCLUSION The risk factors of intraocular infection after implantation of in- traocular lens in elderly patients with cataract are advanced age, transparent cornea incision, long operation time, vitreous overflow, and with diabetes mellitus.

关 键 词：白内障 眼内感染 危险因素 

分 类 号：R619.3[医药卫生—外科学]