CAJ | 학술논문

目的：探讨白内障患者不同手术时机与医院感染发生相关性研究，为减少白内障患者医院感染发生提供依据。方法选取2011年12月－2013年12月收治的97例白内障患者进行研究，按照白内障手术时机将患者分为3组，其中早期手术组33例、中期手术组30例，成熟期手术组34例，分别收集患者的血液及眼内分泌物进行病原菌培养，观察患者手术后医院感染发生率，数据采用SPSS 18．0软件进行统计分析。结果3组患者中发生医院感染的分别有2、4例和9例，发生率分别为6．06％、13．33％和26．47％，早期手术组显著低于中期和成熟期，中期显著低于成熟期，组间相比，差异有统计学意义（P＜0．05）；早期手术患者其视功能指数问卷分值为63．44分，显著低于其他两组的68．38分和79．72分，差异有统计学意义（ P＜0．05），成熟期患者 V F问卷评分79．72分显著优于中期手术者68．38分，差异有统计学意义（ P＜0．05）。结论白内障手术不同时机其发生医院感染的概率有显著的差异，临床医师应根据患者的视力及患者要求及时手术，降低患者医院感染的发生率，提高患者的生活质量。
목적：탐토백내장환자불동수술시궤여의원감염발생상관성연구，위감소백내장환자의원감염발생제공의거。방법선취2011년12월－2013년12월수치적97례백내장환자진행연구，안조백내장수술시궤장환자분위3조，기중조기수술조33례、중기수술조30례，성숙기수술조34례，분별수집환자적혈액급안내분비물진행병원균배양，관찰환자수술후의원감염발생솔，수거채용SPSS 18．0연건진행통계분석。결과3조환자중발생의원감염적분별유2、4례화9례，발생솔분별위6．06％、13．33％화26．47％，조기수술조현저저우중기화성숙기，중기현저저우성숙기，조간상비，차이유통계학의의（P＜0．05）；조기수술환자기시공능지수문권분치위63．44분，현저저우기타량조적68．38분화79．72분，차이유통계학의의（ P＜0．05），성숙기환자 V F문권평분79．72분현저우우중기수술자68．38분，차이유통계학의의（ P＜0．05）。결론백내장수술불동시궤기발생의원감염적개솔유현저적차이，림상의사응근거환자적시력급환자요구급시수술，강저환자의원감염적발생솔，제고환자적생활질량。
OBJECTIVE To study the correlation of different timing of surgery and hospital infections in cataract pa‐tients ,so as to provide reference to reduce hospital infections in cataract patients .METHODS Totally 97 patients with cataract from Dec .2011 to Dec .2013 in our hospital were studied .Patients were divided into three groups by the timing of cataract surgery ,the early surgical group (n=33) ,the intermediate surgical group (n=30) ,and the mature surgical group (n=34) .The patients blood and eye secretions were collected for pathogen culture ,the in‐cidence of hospital infections was observed in patients after surgery ,the software SPSS18 .0 was used for statisti‐cal analysis .RESULTS Hospital infections occurred in 2 cases (6 .06% ) , 4 cases (13 .33% ) and 9 cases (26 .47% ) in the three groups respectively ,indicating that the incidence was lower in the early surgical group than in the intermediate and mature surgical groups and was lower in the intermediate group than in the mature surgical group ,the inter‐group comparison was significance (P<0 .05) .The visual function (VF) questionnaire score was in the early surgical group ,significantly lower than 68 .38 and 79 .72 in the other two groups (P<0 .05);the VF questionnaire score was 79 .72 in the mature surgical group ,significantly better than 68 .38 in the intermediate sur‐gical group (P<0 .05) .CONCLUSION The chance of hospital infections has significant difference at different tim‐ing of cataract surgery ,clinicians should perform surgeries timely based on the patient′s vision and requirements , so as to reduce the incidence of hospital infections and improve the life quality of patients .