ARC合并T2DM患者术后并发感染性眼内炎的影响因素分析  

Analysis of Influencing Factors of Postoperative Infectious Endophthalmitis in ARC Patients with T2DM

作　　者：何敬利 HE Jingli(Department of Ophthalmology,The Second People’s Hospital of Wenshang County,Jining 272000,China)

机构地区：[1]山东省汶上县第二人民医院眼科,山东济宁272000

出　　处：《中国伤残医学》2024年第21期97-100,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨年龄相关性白内障(ARC)合并2型糖尿病(T2DM)患者在超声乳化白内障摘除及人工晶体(IOL)植入术后并发感染性眼内炎的危险因素。方法:回顾性分析2023年3月—2024年3月汶上县第二人民医院收治的160例ARC合并T2DM患者资料,所有患者均于本院行乳化白内障摘除及IOL植入术,根据术后是否发生感染性眼内炎分为发生组(n=18)和未发生组(n=142)。对ARC合并T2DM患者乳化白内障摘除及IOL植入术术后发生感染性眼内炎的相关因素进行分析,采用Logistic回归分析其危险因素。结果:160例ARC合并T2DM行乳化白内障摘除及IOL植入术的患者中有18例术后发生感染性眼内炎,发病率为11.25%。单因素分析显示,性别、身体质量指数、吸烟饮酒史、ARC合并T2DM病程与ARC合并T2DM患者乳化白内障摘除及IOL植入术后并发感染性眼内炎无关(P>0.05);年龄、高血压史、血糖控制情况、手术时间、玻璃体是否溢出、晶状体后囊是否破裂与ARC合并T2DM患者乳化白内障摘除及IOL植入术后并发感染性眼内炎有关(P<0.05)。Logistic回归分析结果显示,年龄≥70岁、有高血压史、血糖控制一般、手术时间≥30 min、玻璃体溢出、晶状体后囊破裂是影响ARC合并T2DM患者乳化白内障摘除及IOL植入术后并发感染性眼内炎的独立危险因素(P<0.05)。结论:年龄≥70岁、有高血压史、血糖控制一般、手术时间≥30 min、玻璃体溢出、晶状体后囊破裂是引起ARC合并T2DM患者乳化白内障摘除及IOL植入术后感染性眼内炎的独立危险因素,临床需密切关注。Objective:To investigate the risk factors of infective endophthalmitis after phacoemulsification and intraocular lens(IOL)implantation in patients with age-related cataract(ARC)and type 2 diabetes mellitus(T2DM).Methods:Data of 160 ARC patients with T2DM admitted to the Second People’s Hospital of Wenshang County from March 2023 to March 2024 were retrospectively analyzed.All patients underwent emulsification cataract extraction and IOL implantation in our hospital,and were divided into the occurrence group(n=18)and the non-occurrence group(n=142)according to whether postoperative infectious endophthalmitis occurred.The risk factors of infective endophthalmitis after emulsification cataract extraction and IOL implantation in ARC patients with T2DM were analyzed and the risk factors were analyzed by Logistic regression.Results:Among 160 ARC patients with T2DM who underwent emulsified cataract extraction and IOL implantation,18 cases developed infective endophthalmitis,the incidence rate was 11.25%.Univariate analysis showed that gender,body mass index,smoking and drinking history,duration of ARC merges T2DM were not correlated with infective endophthalmitis after emulsification cataract extraction and IOL implantation in ARC merges T2DM patients(P>0.05);age,history of hypertension,blood glucose control,operation time,vitreous overflow and posterior lens capsule rupture were correlated with infective endophthalmitis after emulsification cataract extraction and IOL implantation in ARC patients with T2DM(P<0.05).Logistic regression analysis showed that age≥70 years old,history of hypertension,general blood glucose control,operation time≥30 min,vitreous overflow and posterior lens capsule rupture were independent risk factors for infective endophthalmitis after emulsification cataract extraction and IOL implantation in ARC patients with T2DM(P<0.05).Conclusion:Age≥70 years,history of hypertension,general blood glucose control,operation time≥30 min,vitreous overflow,and posterior lens capsule rupture are inde

关 键 词：年龄相关性白内障 2型糖尿病:感染性眼内炎 超声乳化白内障摘除 人工晶体植入术 危险因素 

分 类 号：R68[医药卫生—骨科学]