中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2013年
2期
139-142
,共4页
侯利环%丘爱珠%杨春玲%刘婧
侯利環%丘愛珠%楊春玲%劉婧
후리배%구애주%양춘령%류청
快速压力蒸汽灭菌法%高压蒸汽灭菌法%白内障超声乳化术%炎性反应
快速壓力蒸汽滅菌法%高壓蒸汽滅菌法%白內障超聲乳化術%炎性反應
쾌속압력증기멸균법%고압증기멸균법%백내장초성유화술%염성반응
Flash sterilization%Autoclave sterilization%Phacoemulsification%Inflammatory response
目的 比较高压蒸汽灭菌和快速压力蒸汽灭菌对白内障超声乳化术后患者术眼炎性反应的差异,探讨不同蒸汽灭菌方法的效果,为合理选择超声乳化手术器械的灭菌方式提供依据.方法 对在暨南大学附属第一医院眼科行白内障超声乳化手术的51例患者60只眼,按随机化原则分为高压蒸汽灭菌组25例30只眼和快速压力蒸汽灭菌组26例30只眼,分别于术后1d、3d、7d观察两组患者术眼的视力、结膜反应、角膜反应、前房反应、眼压、角膜内皮细胞密度、人工晶状体位置以及病人舒适度.结果 两组患者术后1d、3d、7d的视力、角膜内皮细胞密度、眼压、结膜反应、角膜反应、前房反应差异均无统计学意义(P＞0.05).人工晶状体位置正、病人无不适.且两组灭菌后的器械细菌培养结果均为阴性.结论 快速压力蒸汽灭菌法对于白内障超声乳化手术具有与高压蒸汽灭菌法一样的手术效果,没有明显增加其术后炎性反应,是超声乳化手术器械安全可靠、快速高效的灭菌方法.
目的 比較高壓蒸汽滅菌和快速壓力蒸汽滅菌對白內障超聲乳化術後患者術眼炎性反應的差異,探討不同蒸汽滅菌方法的效果,為閤理選擇超聲乳化手術器械的滅菌方式提供依據.方法 對在暨南大學附屬第一醫院眼科行白內障超聲乳化手術的51例患者60隻眼,按隨機化原則分為高壓蒸汽滅菌組25例30隻眼和快速壓力蒸汽滅菌組26例30隻眼,分彆于術後1d、3d、7d觀察兩組患者術眼的視力、結膜反應、角膜反應、前房反應、眼壓、角膜內皮細胞密度、人工晶狀體位置以及病人舒適度.結果 兩組患者術後1d、3d、7d的視力、角膜內皮細胞密度、眼壓、結膜反應、角膜反應、前房反應差異均無統計學意義(P＞0.05).人工晶狀體位置正、病人無不適.且兩組滅菌後的器械細菌培養結果均為陰性.結論 快速壓力蒸汽滅菌法對于白內障超聲乳化手術具有與高壓蒸汽滅菌法一樣的手術效果,沒有明顯增加其術後炎性反應,是超聲乳化手術器械安全可靠、快速高效的滅菌方法.
목적 비교고압증기멸균화쾌속압력증기멸균대백내장초성유화술후환자술안염성반응적차이,탐토불동증기멸균방법적효과,위합리선택초성유화수술기계적멸균방식제공의거.방법 대재기남대학부속제일의원안과행백내장초성유화수술적51례환자60지안,안수궤화원칙분위고압증기멸균조25례30지안화쾌속압력증기멸균조26례30지안,분별우술후1d、3d、7d관찰량조환자술안적시력、결막반응、각막반응、전방반응、안압、각막내피세포밀도、인공정상체위치이급병인서괄도.결과 량조환자술후1d、3d、7d적시력、각막내피세포밀도、안압、결막반응、각막반응、전방반응차이균무통계학의의(P＞0.05).인공정상체위치정、병인무불괄.차량조멸균후적기계세균배양결과균위음성.결론 쾌속압력증기멸균법대우백내장초성유화수술구유여고압증기멸균법일양적수술효과,몰유명현증가기술후염성반응,시초성유화수술기계안전가고、쾌속고효적멸균방법.
Objective To compare the differences of inflammatory response on the operation eyes after phacoemulsification between autoclave sterilization and flash sterilization,and to explore their effect and provide evidences for reasonable sterilization methods selection of the phacoemulsification instruments.Methods Sity eyes in 51 patients which received phacoemulsification in Department of Ophthalmology in First Affiliated Hospital of Jinan University were divided into two groups randomly.One was the autoclave sterilization group with 30 eyes in 25 patients,and the other was flash sterilization group with 30 eyes in 26 patients.Visual acuity,conjunctiva,cornea,anterior chamber reaction,intraocular pressure,comeal endothelial cell density,intraocular lens position and patient comfort were observed in the 1st,3rd,7th day after operation.Results Two groups had no significant difference (P ＞0.05) in visual acuity,corneal endothelial cell density,intraocular pressure,corneal conjunctival reaction,anterior chamber reaction in the 1st,3rd,7th day after operation.The intraocular lens was in normal position.The patient had no discomfort.Conclusions The flash sterilization has the same operative results as autoclave sterilization in phacoemulsification and the inflammatory response of the operation eyes after phacoemulsification has no obvious increase.The flash sterilization is a safe,reliable and efficient sterilization method of the instruments of phacoemulsification.
