摘要
目的探讨导致白内障患者术后发生感染性眼内炎的相关因素,治疗并分析相关围术期护理对策。方法选取2015年4月-2017年4月医院收治检查后确诊的184例白内障患者为研究对象。根据护理方式分为对照组和试验组,各92例,试验组实施围术期护理对策,对照组给予常规护理干预,比较两组护理干预后感染性眼内炎发生率、住院时间、护理满意度、免疫功能情况及炎性指标水平。分析白内障患者术后并发感染性眼内炎的相关因素,分析总结相关治疗及围术期护理对策。结果 184例白内障患者,发生感染性眼内炎27例,发生率为14.67%。年龄、糖尿病史、手术时间、玻璃体溢出及手术切口位置是白内障手术患者术后发生感染性眼内炎的相关因素(P<0.05),无菌操作是发生感染性眼内炎的保护因素(P<0.05)。184例患者实施不同护理干预后,试验组患者感染性眼内炎发生率为4.35%低于对照组25.00%(P<0.05);试验组住院时间、超敏C-反应蛋白(hsCRP)、白细胞介素-6(IL-6)、IL-8、白细胞计数(WBC)分别为(9.05±5.56)d、(5.59±2.61)mg/L、(9.53±1.03)ng/L、(7.17±1.43)ng/L、(8.01±2.11)/均低于对照组(P<0.001)。结论临床治疗及护理工作中,应针对上述相关因素给予相应的围术期护理对策,降低感染性眼内炎发生率,提高临床治疗效果。
OBJECTIVE To explore the risk factors,treatment and relevant perioperative nursing strategies of postoperative occurrence of infective endophthalmitis in patients with cataract.METHODS A total of 184 cases of cataract patients admitted to diagnosis in our hospital from Apr.2015 to Apr.2017 were selected as the subjects of study.According to different nursing methods,the patients were divided into control group and experimental group,with 92 cases in each group.The experimental group was taken perioperative nursing countermeasures,and the control group was treated with routine nursing intervention.The incidence of infectious endophthalmitis,time of hospitalization,nursing satisfaction,immune function and the levels of inflammatory indicators in the two groups after treatment were compared.The related factors of infectious endophthalmitis after cataract surgery were analyzed,and related treatment and perioperative nursing countermeasures were analyzed and summarized.RESULTS Of 184 patients with cataract,27 had infectious endophthalmitis,and the infection rate was 14.67%.The age,history of diabetes mellitus,operation time,vitreous spillover and incision location were related factors of infective endophthalmitis after cataract surgery（P〈0.05）,and aseptic operation was a protective factor for infective endophthalmitis（P〈0.05）.Different implementation of nursing intervention in 184 patients,incidence of infective endophthalmitis in experimental group was 4.35%,which was significantly lower than 25.00%in control group（P〈0.05）.The hospitalization time,hs-CRP,IL-6,IL-8 and WBC were（9.05±5.56）d,（5.59±2.61）mg/L,（9.53±1.03）ng/L,（7.17±1.43）ng/L and（8.01±2.11）/L,which were significantly lower than those in control group（P〈0.001）.CONCLUSIONIn the clinical treatment and nursing work,it should be given corresponding perioperative nursing countermeasures according to the above risk factors to reduce the incidence of infectious endophthalmitis,and improve clinical treatment.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2018年第4期578-581,共4页
Chinese Journal of Nosocomiology
基金
海南省社会发展科技专项基金资助项目(SF201412)
关键词
感染性眼内炎
围术期护理
相关因素
白内障
Infective endophthalmitis
Perioperative care
Risk factors
Cataracts
