CAJ | 학술논문

目的：探讨常用三种冲洗液对结膜囊细菌清除率的比较。方法：白内障手术的患者360例360只眼，按照随机数字表法分为四组，每组90例90只眼，A组（对照组）用生理盐水500 mL；试验组分别是：B组为0.08%的庆大霉素及生理盐水各250 mL、C组5%安尔碘Ⅲ型皮肤消毒液稀释液（0.25%）及生理盐水各250 mL、D组为5%安尔碘Ⅲ型皮肤消毒液稀释液（0.125%）及生理盐水各250 mL，分别对四组患者在冲洗后细菌培养结果、结膜充血及患者的舒适度进行对比分析。结果：四组在冲洗前细菌阳性率比较差异无统计学意义（P>0.05）。四组第一次冲洗后结膜囊细菌培养阳性率比较差异无统计学意义（P>0.05）。四组第二次冲洗后（手术结束时）结膜囊细菌培养差异有统计学意义（P<0.01）。结论：使用5%安尔碘Ⅲ型稀释40倍（0.125%）后冲洗结膜囊可以达到很好的清除结膜囊细菌的效果。
목적：탐토상용삼충충세액대결막낭세균청제솔적비교。방법：백내장수술적환자360례360지안，안조수궤수자표법분위사조，매조90례90지안，A조（대조조）용생리염수500 mL；시험조분별시：B조위0.08%적경대매소급생리염수각250 mL、C조5%안이전Ⅲ형피부소독액희석액（0.25%）급생리염수각250 mL、D조위5%안이전Ⅲ형피부소독액희석액（0.125%）급생리염수각250 mL，분별대사조환자재충세후세균배양결과、결막충혈급환자적서괄도진행대비분석。결과：사조재충세전세균양성솔비교차이무통계학의의（P>0.05）。사조제일차충세후결막낭세균배양양성솔비교차이무통계학의의（P>0.05）。사조제이차충세후（수술결속시）결막낭세균배양차이유통계학의의（P<0.01）。결론：사용5%안이전Ⅲ형희석40배（0.125%）후충세결막낭가이체도흔호적청제결막낭세균적효과。
Objective:To investigate bacterial clearance rate of three irrigation solutions for conjunctival sac. Method:Three hundred and sixty cases of cataract surgery(360 eyes)were divided into the group A(the control group) with 500 mL saline,the group B with 0.08%gentamicin and normal saline each 250 mL,the group C with 5%anerdianⅢtype of skin disinfectant dilution(0.25%)and normal saline each 250 mL,the group D with 5%anerdian type Ⅲskin disinfectant dilution(0.125%)and normal saline each 250 mL. The results of bacterial culture conjunctival hyperemia and patient comfort comparative analysis of four groups were compared. Result:Before flushing and after the first flushing,the positive rate of bacterial culture of conjunctival sac of four groups had no significant difference(P>0.05). After the second flushing,the positive rate of bacterial culture of four groups had significant difference(P<0.01). Conclusion:Using a 5%dilution anerdian type Ⅲ40 times(0.125%)after washing the conjunctival sac can achieve good results to clear the conjunctival sac of bacteria.