摘要
目的探索改良的术前结膜囊准备方法的安全性、有效性和可行性。方法将需行内眼手术的住院患者108例随机分为观察组和对照组。对照组术前3 d常规使用0.3%左氧氟沙星液滴眼1次/6 h加术前1 h以生理盐水200 ml冲洗1次;观察组术前24 h以生理盐水200 ml冲洗第1次加0.3%左氧氟沙星液滴眼1次/2 h加术前1 h以生理盐水200 ml冲洗第2次。两组患者均在冲洗结束后术前30 min采集结膜囊标本做细菌培养,统计阳性率、住院天数和住院费用和观察并发症。结果细菌阳性检出率观察组为11.1%,对照组为14.8%,其差异无显著意义(P>0.05)。住院天数和总费用观察组为6.2±1.8 d和3 017.5±247.4元,对照组为8.1±2.2 d天和3 210.4±277.3元,两组比较差异有显著意义(P<0.01)。两组无一例出现眼内炎等并发症。结论改良的内眼手术术前准备方法安全、有效。住院时间缩短和医疗费用降低,能较好地满足患者的就医需求。
Objective To research the security,availability and feasibility of the improvement of the preparation for saccus conjunctivae before operation. Method Divide 108 patients who need the operation into the research group and the control group.0.3% levofloxacin lactate eye drops have been used on the control group three days before operation once/6h,and wash the.saccus conjunctivae once with 200ml of 0.9% NS one hour before the operation.The.saccus conjunctivae of the research group is washed for the first time...
出处
《护士进修杂志》
北大核心
2008年第18期1644-1645,共2页
Journal of Nurses Training
关键词
结膜囊
冲洗
内眼手术
眼内炎
Saccus conjunctivae Wash Ocular operation Endophthalmitis
