摘要：
Objective To investigate the current situation of contact lens cases′contamination and contact lens hygiene compliance in Wenzhou, so as to provide a basis for further improvement of hygiene for wearers. Methods The general data of the wearer and the present condition of the lens cases hygiene compliance were investigated by the questionnaire, and the contamination was judged by themicrobiological culture. Results The positive rate of bacterial culture in the contact lens cases was 43.96％(40/91). Compared with the positive culture group, the negative group performed better in hand hygiene (χ2=17.624, P<0.01), and the frequency of the case sterilization in the negative group (χ2=43.754, P<0.01), cleaning frequency (χ2=69.737, P<0.01) were higher than the positive group. In the choice of cleaning methods, the proportion of using brushing (χ2=65.441, P<0.01) and re-rinsing (χ2=59.663, P<0.01) in the negative group was higher than that of the positive group. The results were all statistically different.Conclusion The present condition of hygiene compliance of the orthokeratology lens wearers in Wenzhou is not so well, and it needs to be further improved. And agents, scrubbing, rinsing and drying are effective for reducing microbes.%目的 调查温州地区OK镜佩戴者的镜盒污染及镜盒护理现况,为进一步改善佩戴者镜盒护理提供依据.方法 通过调查表调查佩戴者的一般资料及镜盒护理现况,通过细菌培养判断镜盒的污染情况.结果 镜盒细菌培养阳性率为43.96％(40/91),与细菌培养阳性组相比,阴性组在手卫生方面表现更好(χ2=17.624,P<0.01),同时阴性组的镜盒消毒频率(χ2=43.754,P<0.01)、清洗频率(χ2=69.737,P<0.01)均高于阳性组.在清洗方式的选择方面,阴性组采用刷洗(χ2=65.441,P<0.01)和再次冲洗(χ2=59.663,P<0.01)等方式的比例相较于阳性组更高,结果均差异有统计学意义.结论 温州地区OK镜佩戴者镜盒护理现况不佳,有待进一步改善.使用清洗剂、刷洗、冲洗、干燥等对减少细菌有效.
