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@#AIM: To investigate the changes in constituent ratio and operation of the inpatients with ophthalmology from a key hospital in province. <p>METHODS: A retrospective analysis was conducted including the data of medical record first sheet of patients from January 1 2015 to December 31 2017 using the hospital medical statistical analysis system. All cases were classified by clinical specialties, and the surgery quantity was counted according to the first operation method. The database was established and analyzed with Excel 2007 and SPSS 17.0. <p>RESULTS: Total of 43 307 patients were research studied, including 21 063 males(48.64%)and 22 244 females(51.36%)with an average age of(55.0±20.4)years. The proportion of patients over 60 years old accounted for 49.92% of the total number, and this value tended to increase year by year while that decrease among patients aged 0 to 19 years. These included 31.49% of diseases of the lens, 20.61% of retino-choroidal diseases, 10.29% of glaucoma, 8.70% of strabism, 8.49% of ocular trauma, 7.44% of vitreous body disease, 6.51% of eyelid-conjunctiva and lacrimal apparatus disease, 2.69% of eye neoplasm, 1.06% of optic-nerve disease, 0.89% of sclera, corneal, iris or ciliary body disease, 1.82% of other eye disease. There was 89.40% of cases underwent an ophthalmic surgery(38 718 cases), 16 590 were operation on lens(42.85% of cases), 4 697 were intravitreal injection(12.13% of cases), 3 491 were strabismus surgery(9.02% of cases), 2 597 were glaucoma operation(6.66% of cases). <p>CONCLUSION: Lens disease, retino-choroid disease, glaucoma, strabismus and ocular trauma were constituted the top five diseases. At present, treatment of cataract is still the main work of prevention and treatment of blindness, while retino-choroid disease is increasing rapidly and becoming the focus of prevention and treatment.
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Objective To explore the effect of dexmedetomidine combined with sevoflurane on the postoperative sedation for children undergoing ophthalmic operation.Methods Pediatric patients (200 cases) in Ankang Hospital of Traditional Chinese Medicine from January 2014 to August 2016 were enrolled,of which patients were divided into two groups randomly,Group A (n =100) accepted sevoflurane combined with normal saline,and Group B (n =100) adopted sevoflurane combined with dexmedetomidine.The operative conditions and postoperative VAS,Ramsay and PEAD scores were evaluated,and the postoperative adverse reactions were recorded and analyzed.Results There was no significance of the operation time between two groups,the wakened time of Group B was later than that of Group A significantly (P ＜ 0.05),the postoperative extubation quality score of Group B was lower than that in Group A (P ＜ 0.05),and the times of using analgesic in Group B was fewer than that of Group A (P ＜ 0.05);The VAS score of patients in Group B was significantly lower than that of Group A at the time points of T1,T2 and T3;At the time points ofT1 and T2,the Ramsay score of patients in Group B was higher than that in Group A,and PAED score of Group B was lower than that in Group A,with significant difference between Groups A and B (P ＜ 0.05);The incidence of nausea and vomiting,respiratory depression,postoperative agitation of patients in Group B was lower significantly than that of Group A,and the incidence of total adverse reactions in Group B was also lower than that in Group A significantly (P ＜ 0.05).Conclusion The clinical efficacy and safety of dexmedetomidine combined with sevoflurane for patients undergoing ophthalmic operation are remarkable and deserve popularization in clinic,which not only relieves the restlessness agitation of patients in recovery period,but also decreases the incidence of adverse reactions.
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OBJECTIVE To observe the infection after ophthalmic operation in 276 patients with AIDS.METHODS This trial involved 276 patients(276 eyes) with AIDS.They were divided into 2 groups according to surgical sites:112 patients(112 eyes) were in the first group who were undergone eyelid or conjunctival operation and 164 patients(164 eyes) were in the second group who were undergone cataract or glaucoma operation.There were 325 patients(325 eyes) who did not suffered with AIDS in the control group: 130 patients(130 eyes) were in the third group who were undergone eyelid or conjunctival operation and 195 patients(195 eyes) were in the fourth group who were undergone cataract or glaucoma operation.The infections were observed after operation.RESULTS There were 30 cases(26.79%),8 cases(4.88%),12 cases(9.23%) and 8 cases(4.10%) suffered with infection after operation in four groups respectively.There were 38 infected cases(13.77%) in patients with AIDS and more than that in patients who did not suffered with AIDS(20 cases and 6.15% ?2=9.07,P