首页|聚维酮碘稀释液结膜囊冲洗联合左氧氟沙星滴眼预防白内障手术术后感染临床评价

聚维酮碘稀释液结膜囊冲洗联合左氧氟沙星滴眼预防白内障手术术后感染临床评价

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目的 分析聚维酮碘稀释液结膜囊冲洗联合左氧氟沙星滴眼预防白内障手术术后感染治疗效果,为临床治疗提供一定依据.方法 选取2016年1月~2017年6月本院收治400例白内障手术患者作为研究对象,按照随机数字表将其分为常规治疗组(n=200,312只眼)及联合治疗组(n=200,325只眼),常规治疗组在接受手术治疗前应用左氧氟沙星滴眼进行术后感染预防,联合治疗组在常规治疗组的基础上联合应用聚维酮碘稀释液进行结膜囊冲洗预防术后感染,对比2组患者术前、术后、术后第2天细菌培养情况及不良反应发生情况.结果 联合治疗组第2天细菌培养阳性率为0.62%,常规治疗组第2天细菌培养阳性率为5.77%(P<0.05);联合治疗组不良反应发生率为0.92%,常规治疗组不良反应发生率为2.88%(P<0.05).结论 聚维酮碘稀释液结膜囊冲洗联合左氧氟沙星滴眼预防白内障手术术后感染临床效果佳,能够大大减少患者细菌培养阳性率,降低患者的不良反应发生率,值得推广.
Treatment of postoperative complications of cataract surgery by combination of povidone ketone iodine dilate and membrane cream combined with levofloxacin eye drops
Objective To analyze the therapeutic effect of povidone iodine diluent conjunctival sac combined with levofloxacin eye drops on cataract surgery to provide a basis for clinical treatment. Methods 400 patients with cataract surgery were enrolled in our hospital from January 2017 to June 2017. They were divided into two groups according to the random number table (n=200, 312 eyes) and the combined treatment group (n= 200, 325 eyes). In the conventional treatment group, levofloxacin was used to prevent postoperative infection. The combined treatment group was treated with povidone iodine dilution on the basis of conventional treatment group to prevent postoperative infection , Compared with the two groups of patients before surgery, postoperative, 2d postoperative bacterial culture and adverse reactions occurred. Results The positive rate of bacterial culture was 0.62% on the 2nd day in the combined treatment group and 5.77% in the conventional treatment group (P<0.05). The incidence of adverse reaction was 0.92% in the combined treatment group and the conventional treatment group The incidence of reaction was 2.88% (P<0.05). Conclusion The effect of povidone iodine diluent conjunctival sac rinse combined with levofloxacin eye drops on the prevention of cataract surgery is very good, which can greatly reduce the positive rate of bacterial culture and reduce the incidence of adverse reactions in patients.

povidone iodine dilutionconjunctival sac rinselevofloxacincataractpostoperative infection

周升飞

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陕西省榆林市靖边县中医院 眼科,陕西 榆林 718500

聚维酮碘稀释液 结膜囊冲洗 左氧氟沙星 白内障手 术后感染

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(9)
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