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青少年角膜塑形镜配戴者结膜囊及镜盒菌群研 [复制链接]

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目的研究配戴角膜塑形镜对青少年结膜囊菌群的影响,以及角膜塑形镜存储盒带菌情况。方法实验研究。分别对名配戴角膜塑形镜(配戴组)和名未配戴角膜塑形镜青少年(对照组)进行结膜囊细菌培养,并对个角膜塑形镜存储盒进行细菌培养。所有标本置于37℃恒温箱中培养48h后统计培养阳性率。数据比较采用卡方检验。结果对照组结膜囊培养菌株68株,阳性率为30.9%;配戴组结膜囊培养菌株59株,阳性率为29.4%;2组结膜囊细菌培养阳性率差异无统计学意义(χ2=0.12,P0.05)。角膜塑形镜存储盒细菌培养菌株72株,阳性率为45.6%。2组研究对象结膜囊和镜盒菌群培养阳性率首位均为表皮葡萄球菌。结论配戴角膜塑形镜不会提高青少年结膜囊带菌率,镜片及镜盒的清洁可降低镜片污染率。

角膜塑形术;结膜囊;细菌菌群

Researchonbacterialfloraintheconjunctivalsacsandstoragecasesofadolescentwearingorthokeratologylenses

WangYingming,ZhangXiaofeng,QianXuefeng,XiaWei,ZhongLei,SunZhengtai,FuXinyi.DepartmentofOphthalmology,AffiliatedFirstHospitalofSoochowUniversity,Suzhou,China

Correspondingauthor:ZhangXiaofeng,Email:zhangxiaofeng

suda.edu.cn

ObjectiveToinvestigatethestatusofbacterialfloraintheconjunctivalsacofadolescentswearingorthokeratologylensesandintheirstoragecases.MethodsOnehundredandoneadolescentswearingorthokeratologylenses(wearinggroup)andadolescentswhodonotwearthelenses(controlgroup)wereincludedinthesurvey.Therewerestoragecasesjoinedinthetest.Samplescollectedfromtheconjunctivalsacsandstoragecaseswereculturedat37℃for48h.ResultsFifty-ninestrainsofbacteriawereculturedinthewearinggroup,withapositiverateof29.4%.Inthecontrolgroup,68strainswerefound,andthepositiveratewas30.9%.Therewasnosignificantdifferencebetweenthetwogroups(χ2=0.12,P0.05).Seventy-twostrainsofbacteriawereculturedintheorthokeratologylensstoragecases,withapositiverateof45.6%.Staphylococcusepidermidiswasthemostprevalentbacteriainthebacterialfloraandstoragecasesofthetwogroups.ConclusionWearingorthokeratologylensesdoesnotsignificantlyincreasethepositiverateofbacterialflora.Atthesametime,cleaninglensesandcasesiseffectiveinreducingtherateoflenspollution.

Orthokeratologicprocedures;Conjunctivalsac;Bacterialflora

DOI:10./cma.j.issn.-X..10.

作者单位:医院眼科

通信作者:张晓峰,Email:zhangxiaofeng

suda.edu.cn

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