白内障患者术后发生感染性眼内炎的危险因素  

Risk Factors of Postoperative Infective Endophthalmitis in Cataract Patients

作　　者：肖可 程美素 麦小谷 谢敏 XIAO Ke;CHENG Meisu;MAI Xiaogu;XIE Min(Yangdong District People’s Hospital,Guangdong Province,Yangjiang 529500,China;不详)

机构地区：[1]广东省阳江市阳东区人民医院,广东阳江529500 [2]中国人民解放军南部战区总医院

出　　处：《中国医学创新》2022年第12期160-163,共4页Medical Innovation of China

摘　　要：目的:探讨白内障患者术后发生感染性眼内炎的危险因素。方法:选择2019年3月-2021年4月于阳江市阳东区人民医院行超声乳化白内障吸除术的210例白内障患者,根据术后有无发生感染性眼内炎,将患者分为发生组(n=47)和未发生组(n=163)。统计患者相关基线资料,分析白内障手术患者术后发生感染性眼内炎的危险因素。结果:发生组和未发生组的年龄、糖尿病、手术时间、玻璃体溢出、手术切口、开放性眼球外伤情况比较,差异均有统计学意义(P<0.05)。发生组和未发生组的性别、高血压、肥胖情况比较,差异均无统计学意义(P>0.05)。多因素logistic回归分析显示,年龄≥65岁、有糖尿病、手术时间≥1 h、玻璃体溢出、透明角膜切口、有开放性眼球外伤是白内障患者术后发生感染性眼内炎的危险因素(OR>1,P<0.05)。结论:年龄≥65岁、有糖尿病、手术时间≥1 h、玻璃体溢出、透明角膜切口、有开放性眼球外伤是白内障患者术后发生感染性眼内炎的危险因素,临床应及时制定针对性干预措施,以减少白内障患者术后感染性眼内炎发生风险。Objective:To investigate the risk factors of postoperative infective endophthalmitis in cataract patients.Method:A total of 210 cataract patients who underwent phacoemulsification in Yangdong District People’s Hospital,Yangjiang City from March 2019 to April 2021 were selected,according to the occurrence of postoperative infective endophthalmitis,the patients were divided into the occurrence group (n=47) and the non-occurrence group (n=163).The baseline data of patients were collected,the risk factors of postoperative infective endophthalmitis in cataract patients was analyzed.Result:There were statistically significant differences in age,diabetes,surgical time,vitreous overflow,surgical incision and open ocular trauma between the occurrence group and the non-occurrence group (P<0.05).There were no significant differences in gender,hypertension and obesity between the occurrence group and the non-occurrence group (P>0.05).Multivariate logistic regression analysis showed that age ≥65 years,diabetes,surgical time ≥1 h,vitreous overflow,transparent corneal incision,and open ocular trauma were risk factors for postoperative infective endophthalmitis in cataract patients (OR>1,P<0.05).Conclusion:Age ≥65 years,diabetes,surgical time ≥1 h,vitreous overflow,transparent corneal incision,and open ocular trauma are the risk factors for postoperative infective endophthalmitis in cataract patients,clinical intervention measures should be timely formulated to reduce the risk of postoperative infective endophthalmitis in cataract patients.

关 键 词：白内障 感染性眼内炎 手术切口位置 

分 类 号：R779.66[医药卫生—眼科]