白内障手术后感染性眼内炎的危险因素及防范措施  

Risk Factors and Preventions of Infectious Endophthalmitis After Cataract Surgery

作　　者：王顺[1] 余爱华[1] 姜平 韩梦瑶 陆宇杰 蔡小军[1] WANG Shun;YU Aihua;JIANG Ping;HAN Mengyao;LU Yujie;CAI Xiaojun(Dept. of Ophthalmology, Zhongnan Hospital of Wuhan University, Wuhan 430071 , China)

机构地区：[1]武汉大学中南医院眼科

出　　处：《武汉大学学报（医学版）》2018年第4期652-655,共4页Medical Journal of Wuhan University

摘　　要：目的：探讨白内障手术后出现感染性眼内炎的危险因素及防范措施。方法：选取我院2011年1月-2016年12月白内障手术患者资料,对其性别、年龄、基础疾病、开放性眼球外伤史、手术方式、术中玻璃体溢出情况、手术持续时间等进行回顾性分析。数据采用SPSS 21.0软件进行统计分析。结果：共6 125例8 576眼,发生感染性眼内炎12例12眼,感染率为0.14%。有年龄≥70岁、糖尿病、开放性眼球外伤史、采用囊外白内障摘除方式、术中玻璃体溢出、手术时间≥30min等6种因素的患者,感染性眼内炎发生率高于其他患者,差异有统计学意义（P〈0.05）。结论：白内障术后感染性眼内炎发生率较低,针对危险因素,采取相应干预措施,降低发生率。Objective：To evaluate the risk factors and preventions of infectious endophthalmitis after cataract surgery.Methods：The patients after cataract surgery from January 2011 to December2016 were included in,the information of sex,age,underlying disease,open ocular trauma history,surgical method,vitreous overflow situation in operation,and operative duration time were collected and analyzed retrospectively by SPSS 21.0.Results：Among 6 125 cases of patients（8 576 eyes）,there were 12 cases（12 eyes）of infectious endophthalmitis,and the infection rate was0.14%.The incidence was higher in patients who had factors of age≥70 years,diabetes,open ocular trauma history,surgical method of extra capsular cataract extraction,vitreous overflow during operation and duration time ≥30 minutes.The difference had statistical significance（P〈0.05）.Conclusion：The rate of infectious endophthalmitis was low after cataract surgery,we should take preventive measures according to the above-mentioned risk factors so as to reduce the incidence.

关 键 词：眼内炎 白内障 手术 危险因素 预防 

分 类 号：R776.4[医药卫生—眼科]