摘要
目的探讨白内障术后早期眼内炎的原因及临床治疗效果,以指导临床提高手术疗效。方法回顾性调查医院2007年1月-2012年1月收治的白内障术后早期眼内炎患者临床资料,根据治疗方法的不同分为治疗组(12例)、对照组(11例),对患者的感染情况、感染原因及防治方法进行总结分析。结果在医院接受治疗的23例患者中,细菌和真菌培养阳性16例,检出表皮葡萄球菌10株、头状葡萄球菌3株、腐生葡萄球菌2株、乙酸钙不动杆菌1株;经治疗23例患者眼内炎均得到了良好的控制,治愈14例,好转9例,观察组患者治愈率为83.3%,对照组为36.4%,观察组明显高于对照组,差异有统计学意义(P<0.05);观察组患者视力恢复效果明显优于对照组,差异有统计学意义(P<0.05)。结论在白内障手术围手术期应采取积极有效的措施进行预防,对眼内炎患者应及早诊断并合理治疗,快速有效地降低病变程度,最大程度地改善视功能,对提高白内障手术疗效和改善患者生活质量具有重要意义。
OBJECTIVE To explore the causes and clinical curative effects of early endophthalmitis after cataract surgery so as to improve the clinical treatment efficacy. METHODS The clinical data of the patients with early endophthalmitis after cataract surgery who enrolled the hospital from in Jan 2007 to Jan 2012 were retrospectively reviewed, the patients were divided into the treatmerit group（12 cases） and the control group（11 cases） according to the treatment methals. The infection status, causes of infections, and prevention measures were analyzed and summarized. RESULTS Of the 23 patients who treated in our hospital, 7 cases were negative with bacteria and fungi training, 16 cases were positive, 10 Staphylococcus epidermidis strains were detected, 3 Staphylococcus caprae strains were detected, 2 Staphylococcus saprophyticus strains were isolated, Acinetobacter calcoaceticus strains were positive in 1 case. The endophthalmitis in the 23 cases has been controlled well, 14 patients were cured, 9 improved, the cure rate of the observation group（83.3%） was significantly higher than that of the control group （36.4%）, the difference was statistically significant （P〈0. 05）. The vision restored effect of the observation group was significantly better than that of the control group, the difference was statistically significant （P〈0.05）. CONCLUSION It is of great significance in improving the clinical efficacy of cataract surgery and quality of life to take active and effective prevention measures during the perioperative period of cataract surgery, to diagnose and treat in the early stage, to quickly reduce the pathological lesions, and to improve the visual function to the greatest extent.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第2期353-355,共3页
Chinese Journal of Nosocomiology
关键词
白内障
眼内炎
防治
Cataract
Endophthalmitis
Prevention and treatment
