白内障术后眼内炎的危险因素分析及预后(1)
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。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、多因素Logistic回归分析情况。结果 两组患者单因素为性别、年龄、高血压、糖尿病、玻璃体溢出、手术时间、手术室类型、麻醉药剂起始至使用时间，除性别外，两组患者年龄、高血压、糖尿病、玻璃体溢出、手术时间、手术室类型、麻醉药剂起始至使用时间等比较，差异具有统计学意义(P<0.05)。多因素Logistic回归分析，年龄≥70岁、高血压、糖尿病、玻璃体溢出、手术时间≥10 min、普通手术室、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(P<0.05)。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。
关键词：白内障术后眼内炎；危险因素分析；预后
, 百拇医药
中图分类号：R779.66 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.01.040
文章编号：1006-1959(2018)01-0108-02
Risk Factors and Prognosis of Endophthalmitis after Cataract Surgery
LUO Hua
(Department of Ophthalmology，Tongchuang Red Cross Hospital，Dazhou 635000，Sichuan，China)
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 (P<0.05). Multivariate logistic regression analysis showed that age≥70 years old， hypertension， diabetes mellitus， vitreous body overflow， operation time≥10 min， general operating room and uncontrolled anesthetic time were independent risk factors of endophthalmitis after cataract surgery， there was statistic Significance(P<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.
Key words：Endophthalmitis after cataract surgery；Analysis of risk factors；Prognosis
眼內炎(endophthalmitis)是一种临床上常见的眼科感染性疾病，多见于眼科手术后，对患者的预后有一定程度的负面影响。近年来，随着医疗技术的不断更新，显微技术的提升，眼内炎的发病率有所下降，但依然是眼科严重的危险性感染性疾病，应给予重点关注，针对眼内炎的产生[1-2]，本文对白内障术后眼内炎的相关危险单因素和多因素进行系统的分析，进而进行相应的预防，提高患者的预后和疗效，报道如下。, 百拇医药(罗华)
关键词：白内障术后眼内炎；危险因素分析；预后
, 百拇医药
中图分类号：R779.66 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.01.040
文章编号：1006-1959(2018)01-0108-02
Risk Factors and Prognosis of Endophthalmitis after Cataract Surgery
LUO Hua
(Department of Ophthalmology，Tongchuang Red Cross Hospital，Dazhou 635000，Sichuan，China)
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 (P<0.05). Multivariate logistic regression analysis showed that age≥70 years old， hypertension， diabetes mellitus， vitreous body overflow， operation time≥10 min， general operating room and uncontrolled anesthetic time were independent risk factors of endophthalmitis after cataract surgery， there was statistic Significance(P<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.
Key words：Endophthalmitis after cataract surgery；Analysis of risk factors；Prognosis
眼內炎(endophthalmitis)是一种临床上常见的眼科感染性疾病，多见于眼科手术后，对患者的预后有一定程度的负面影响。近年来，随着医疗技术的不断更新，显微技术的提升，眼内炎的发病率有所下降，但依然是眼科严重的危险性感染性疾病，应给予重点关注，针对眼内炎的产生[1-2]，本文对白内障术后眼内炎的相关危险单因素和多因素进行系统的分析，进而进行相应的预防，提高患者的预后和疗效，报道如下。, 百拇医药(罗华)