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目的研究实施白内障手术的患者在术后并发感染性眼内炎的因素分析,并探讨通过护理干预所能取得的效果。方法选取2015年3月至2016年6月在我院就诊治疗的白内障患者62例,并随机分为对照组和观察组,各31例。对所有并发术后感染性眼内炎的患者进行统计分析其发生的危险性因素;并且给予对照组常规临床护理,观察组在对照组的基础上给予针对性护理,对比两组患者在实施护理干预后的感染性眼内炎的发病几率。结果全部62例患者中,发生术后感染性眼内炎而患者共有11例,危险因素主要是年龄、手术时间、合并糖尿病高血压以及玻璃体溢出。而发生感染性眼内炎的11例患者中观察组有2例,占观察组总例数的6.45%;对照组有9例,占对照组总例数的29.03%,两组对比具有显著性差异,P<0.05,差异具有统计学意义。结论引起患者术后并发感染性眼内炎的主要因素是年龄(≥70岁)、手术时间(≥1h)、合并糖尿病高血压以及玻璃体溢出。对患者实施针对性的有效护理,可以显著降低术后并发感染性眼内炎的发生率,提高手术治疗效果,感染患者的生活质量和预后影响。
Objective To study the factors of postoperative infection complicated with endophthalmitis in cataract patients and explore the effect of nursing intervention. Methods Sixty-two cataract patients who were treated in our hospital from March 2015 to June 2016 were selected and randomly divided into control group and observation group, with 31 cases in each group. All concurrent postoperative infectious endophthalmitis patients were analyzed for risk factors; and the control group given routine clinical care, observation group on the basis of the control group to give targeted care, compared with two groups of patients in the implementation of care The incidence of infectious endophthalmitis after the intervention. Results In all 62 patients, there were 11 patients with postoperative infectious endophthalmitis. The main risk factors were age, operation time, diabetes mellitus and vitreous spill. In the 11 cases of infectious endophthalmitis, there were 2 cases in the observation group, accounting for 6.45% of the total cases in the observation group; 9 cases in the control group, accounting for 29.03% of the total cases in the control group, with significant difference between the two groups Difference, P <0.05, the difference was statistically significant. Conclusions The main causes of postoperative complications of infectious endophthalmitis are age (≥70 years), operation time (≥1h), diabetes mellitus with hypertension and vitreous effusion. Targeted and effective care of patients can significantly reduce the incidence of postoperative concurrent infection of endophthalmitis and improve the surgical treatment of patients with infection quality of life and prognosis.