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眼科手术中眼部的化学准备。一、结膜冲洗的效果。

Chemical preparation of the eye in ophthalmic surgery. I. Effect of conjunctival irrigation.

作者信息

Isenberg S, Apt L, Yoshimuri R

出版信息

Arch Ophthalmol. 1983 May;101(5):761-3. doi: 10.1001/archopht.1983.01040010761012.

DOI:10.1001/archopht.1983.01040010761012
PMID:6847465
Abstract

We investigated the effect on bacterial flora of conjunctival irrigation as part of the chemical preparation of the eye before surgery. Forty consecutive patients underwent conjunctival irrigation with a saline solution in one randomly selected eye. Aerobic and anaerobic bacterial conjunctival cultures were taken in masked fashion before and after the preparation. In nonirrigated eyes, the colony counts before and after the preparation were virtually identical; the species count increased 23%. In irrigated eyes, the colony count increased 18% and the species count increased 46%. The increase in the species count was significant. Our findings suggest irrigation with a saline solution does not reduce the bacterial flora of the conjunctiva.

摘要

作为术前眼部化学准备工作的一部分,我们研究了结膜冲洗对细菌菌群的影响。连续40例患者,一只随机选择的眼睛用盐溶液进行结膜冲洗。在准备工作前后,以盲法采集结膜需氧和厌氧细菌培养样本。在未冲洗的眼睛中,准备工作前后的菌落计数几乎相同;菌种数量增加了23%。在冲洗过的眼睛中,菌落计数增加了18%,菌种数量增加了46%。菌种数量的增加具有显著性。我们的研究结果表明,用盐溶液冲洗并不会减少结膜的细菌菌群。

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