山东大学耳鼻喉眼学报 ›› 2014, Vol. 28 ›› Issue (5): 66-67.doi: 10.6040/j.issn.1673-3770.0.2014.282

• 论著 • 上一篇    下一篇

0.5%聚维酮碘冲洗结膜囊预防白内障术后眼内炎

房修岭, 姜虎林, 吴建霞, 韩旭巍, 张辽   

  1. 聊城市光明眼科医院, 山东 聊城 252000
  • 收稿日期:2014-08-22 发布日期:2014-10-16
  • 作者简介:房修岭。E-mail:lanwoniu1985@126.com

Pre-operative irrigation of conjunctival sac using 0.5% povidone-iodine in preventing endophthalmitis after cataract surgery

FANG Xiu-ling, JIANG Hu-lin, WU Jian-xia, HAN Xu-wei, ZHANG Liao   

  1. Liaocheng Guangming Ophthalmology Hospital, Liaocheng 252000, Shandong, China
  • Received:2014-08-22 Published:2014-10-16

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摘要： 目的 探讨应用0.5%聚维酮碘冲洗结膜囊预防白内障术后眼内炎的效果。方法 将2012年10月至2013年10月手术治疗的4 000例老年性白内障患者随机分为两组，实验组术前应用0.5%聚维酮碘冲洗结膜囊，3 min后用无菌生理盐水冲洗结膜囊；对照组应用妥布霉素、无菌生理盐水冲洗结膜囊。观察两组冲洗前后结膜囊细菌培养阳性率、对眼表的毒副作用及术后眼内炎的发生率。结果 实验组与对照组细菌培养阳性率差异有统计学意义；对眼表的影响无统计学差异；实验组无眼内炎发生，对照组发生2例眼内炎。结论 应用0.5%聚维酮碘冲洗结膜囊可明显降低结膜囊细菌培养阳性率，且对眼表无明显不良反应，可替代妥布霉素用于老年性白内障术前结膜囊冲洗。

关键词: 白内障超声乳化术, 聚维酮碘, 细菌培养, 眼内炎

Abstract: Objective To explore whether the irrigation of conjunctival sac using 0.5% povidone-iodine would prevent endophthalmitis after cataract surgery. Methods A total of 4 000 patients underwent cataract surgeries in our hospital from October 2012 to October 2013 were randomly enrolled in this study. All were divided into two groups: the experimental group and the control group. The experimental group used 0.5% povidone-iodine for conjunctiva sac irrigation before surgery and the control group used tobramycin. The bacterial rate of the conjunctival sac, the ocular surface side effects and post-operative endophthalmitis incidence were evaluated. Results The bacterial rate had statistically significant difference between the two groups (P<0.05); the ocular surface side effect had no statistically significant difference (P>0.05); There was no intraocular inflammation appeared in the experimental group, however, two cases of endophthalmitis occurred in the control group. Conclusion Tobramycin could be replaced by 0.5% povidone-iodine for pre-operative irrigation of conjunctival sac.

Key words: Phacoemulsification, Povidone iodine, Bacterial culture, Endophthalmitis

中图分类号: 

  • R776.1
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