中华医院感染学杂志
中華醫院感染學雜誌
중화의원감염학잡지
Chinese Journal of Nosocomiology
2015年
7期
1634-1636
,共3页
聚维酮碘%白内障%术后感染%临床研究
聚維酮碘%白內障%術後感染%臨床研究
취유동전%백내장%술후감염%림상연구
Povidone iodine%Cataract%Postoperative infection%Clinical research
目的：探讨采用0．5％聚维酮碘对眼周皮肤消毒预防白内障术后感染的临床疗效，为临床治疗提供参考依据。方法选取1200例、1500眼2012年1月－2013年12月就诊的有白内障手术指征的患者作为研究对象，随机分成试验组和对照组，每组750眼；试验组在清洁擦拭后，用0．5％聚维酮碘消毒，对照组仅用消毒棉签消毒；观察患者有无眼内炎的发生，并嘱患者填写眼部不适情况调查表。结果试验组750眼均未发生眼内感染，对照组750眼中发生眼内炎7眼，其发生率为0．93％，试验组的感染发生率明显低于对照组，差异有统计学意义（ P＜0．05）；试验组术后异物感、刺痛感的发生率低于对照组，差异有统计学意义（P＜0．05）。结论对白内障患者术后采用0．5％聚维酮碘进行眼周皮肤消毒，可以降低术后感染的发生，同时还能够减少术后眼部的不适感，安全性良好、临床疗效满意。
目的：探討採用0．5％聚維酮碘對眼週皮膚消毒預防白內障術後感染的臨床療效，為臨床治療提供參攷依據。方法選取1200例、1500眼2012年1月－2013年12月就診的有白內障手術指徵的患者作為研究對象，隨機分成試驗組和對照組，每組750眼；試驗組在清潔抆拭後，用0．5％聚維酮碘消毒，對照組僅用消毒棉籤消毒；觀察患者有無眼內炎的髮生，併囑患者填寫眼部不適情況調查錶。結果試驗組750眼均未髮生眼內感染，對照組750眼中髮生眼內炎7眼，其髮生率為0．93％，試驗組的感染髮生率明顯低于對照組，差異有統計學意義（ P＜0．05）；試驗組術後異物感、刺痛感的髮生率低于對照組，差異有統計學意義（P＜0．05）。結論對白內障患者術後採用0．5％聚維酮碘進行眼週皮膚消毒，可以降低術後感染的髮生，同時還能夠減少術後眼部的不適感，安全性良好、臨床療效滿意。
목적：탐토채용0．5％취유동전대안주피부소독예방백내장술후감염적림상료효，위림상치료제공삼고의거。방법선취1200례、1500안2012년1월－2013년12월취진적유백내장수술지정적환자작위연구대상，수궤분성시험조화대조조，매조750안；시험조재청길찰식후，용0．5％취유동전소독，대조조부용소독면첨소독；관찰환자유무안내염적발생，병촉환자전사안부불괄정황조사표。결과시험조750안균미발생안내감염，대조조750안중발생안내염7안，기발생솔위0．93％，시험조적감염발생솔명현저우대조조，차이유통계학의의（ P＜0．05）；시험조술후이물감、자통감적발생솔저우대조조，차이유통계학의의（P＜0．05）。결론대백내장환자술후채용0．5％취유동전진행안주피부소독，가이강저술후감염적발생，동시환능구감소술후안부적불괄감，안전성량호、림상료효만의。
OBJECTIVE To investigate the clinical efficacy of infection prevention by using 0 .5% povidone iodine for disinfection of the skin around the eye after cataract surgery so as to provide reference for clinical treatment . METHODS Totally 1200 cases of 1500 eyes of patients with cataract surgical indications from Jan .2012 to Dec . 2013 for treatment were randomly divided into two groups ,the experimental group and the control group with 750 eyes in each group .The experimental group was disinfected with 0 .5% povidone iodine after cleaning wipe test , while the control group used only a sterile cotton swab to wipe and clean the skin around the eye .Patients were observed for the incidence of endophthalmitis ,and patients were asked to fill out the questionnaire about eye dis‐comfort .RESULTS None of the 750 eyes in the experimental group had intraocular infection ,while 7 out of 750 eyes in the control group had endophthalmitis with the incidence rate of 0 .93% ,indicating that the incidence of in‐fection in the experimental group was significantly lower than the control group (P<0 .05) .The incidence of for‐eign body sensation and tingling in the experimental group was significantly lower than the control group (P<0 .05) .CONCLUSION Application of 0 .5% povidone iodine disinfection of skin around the eye for postoperative cataract patients can reduce the incidence of postoperative infection ,also can reduce postoperative ocular discom‐fort ,which can achieve good safety and satisfactory clinical outcomes .
