白内障术后眼内炎的危险因素分析-医学信息

文章信息/Info

Title:: Risk Factors and Prognosis of Endophthalmitis after Cataract Surgery

Author(s):: LUO Hua; Department of Ophthalmology,Tongchuang Red Cross Hospital,Dazhou 635000,Sichuan,China

Keywords:: Key words：Endophthalmitis after cataract surgery; Analysis of risk factors; Prognosis

摘要:: 目的回顾性分析白内障术后眼内炎患者的临床资料，探讨其危险因素及预后遥方法选择2016 年3 月~2017 年3 月我院收治的白内障手术患者190 例为研究对象，依据是否发生眼内炎分为对照组和观察组，对照组175 例，观察组15 例，对比分析两组患者单因素情况尧多因素Logistic回归分析情况遥结果两组患者单因素为性别尧年龄尧高血压尧糖尿病尧玻璃体溢出尧手术时间尧手术室类型尧麻醉药剂起始至使用时间，除性别外，两组患者年龄尧高血压尧糖尿病尧玻璃体溢出尧手术时间尧手术室类型尧麻醉药剂起始至使用时间等比较，差异具有统计学意义（约0.05）遥多因素Logistic 回归分析，年龄逸70 岁尧高血压尧糖尿病尧玻璃体溢出尧手术时间逸10 min尧普通手术室尧未控制麻醉药剂时间等为白内障术后眼内炎产生的独立危险因素，存在统计学意义（约0.05）遥结论通过对白内障术后眼内炎的危险因素进行系统分析，提前进行预防，能够有效的改善患者的预后，值得推广应用

Abstract:: Abstract：Objective To retrospectively analyze the clinical data of patients with endophthalmitis after cataract surgery and explore its risk factors and prognosis.Methods From March 2016 to March 2017,190 cases of cataract surgery patients treated in our hospital were selected as the research object.According to the occurrence of endophthalmitis,there were divided into control group and observation group,175 cases in control group and 15 cases in observation group.Two groups of patients with single factor,multivariate Logistic regression analysis.Results The two groups of patients were sex, age, hypertension, diabetes mellitus, vitreous spill, operation time, operating room type, starting time to use of anesthetic agents, except gender, age, hypertension, diabetes mellitus, operation time, operating room type, starting time to use of anesthetic agents and other comparisons, the difference was statistically significant ( <0.05). Multivariate logistic regression analysis showed that age逸70 years old, hypertension, diabetes mellitus, vitreous body overflow, operation time逸10 min, general operating room and uncontrolled anesthetic time were independent risk factors of endophthalmitis after cataract surgery, there was statistic Significance ( <0.05).Conclusion Through systematic analysis of the risk factors of endophthalmitis after cataract surgery,early prevention can effectively improve the prognosis of the patients,and it is worth popularizing.