青光眼滤过泡感染及滤过泡相关性眼内炎临床分析

摘要

目的：研究分析青光眼滤过泡感染和滤过泡相关性眼内炎的临床诊断和治疗方法。方法根据我院接收的2130例青光眼滤过手术患者来进行研究分析，将这些患者进行了随机分组，每组1065例。对照组手术治疗，不使用抗代谢类药物，观察组手术使用抗代谢药物，对两组的感染情况进行比较分析。结果观察组共有1.41%的患者出现了感染的情况，对照组是0.66%，两组结果比较存在统计学差异性， P<0.05。感染组的临床治疗有效率是92.86%，眼内炎组患者的临床治疗有效率是100%，两组结果差异性不明显，P>0.05。结论青光眼患者接受手术治疗时使用抗代谢药物能够让患者术后滤过泡感染几率以及滤过泡相关性眼内炎发生几率提升，所以，临床中应该要对该类药物的使用进行限制。%Objective To study the clinical diagnosis and treatment analysis of glaucoma filtering bleb infection and method of bleb associated endophthalmitis.Methods According to the 2130 cases of glaucoma filtering operation patients in our hospital received to carry on the research analysis,these patients were randomized to the control group,a total of 1065 cases of patients,operation treatment,do not use anti metabolism drugs,the observation group of 1065 patients using anti metabolic drug operation,carry on comparative analysis to the infection condition of two groups,and then divided into infection group and two groups of endophthalmitis,analysis of diagnosis and treatment for these patients.Results According to the clinical study showed that the observation group,a total of 1.41% of patients experienced infection, compared with 0.66% in the control group,there is significant difference between two groups of results comparison,P<0.05. The clinical treatment of infection group,the effective rate was 92.86%,the clinical treatment of endophthalmitis patients effective rate is 100%,difference between two groups was not obvious,P>0.05.Conclusion When using anti metabolism drugs can make patients postoperative bleb infection rate and filtration bleb associated endophthalmitis occurrence probability of promotion,so glaucoma patients accept operation treatment, clinical in should restrict the use of the drugs.