静脉内注射后静脉内油的患病率:一个元分析
Matheus Pedrotti Chavez1, Tiago Nelson DE Oliveira Rassi2, Camilo Moreno Yate3
1Department of Ophthalmology, Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina, Brazil.
American journal of ophthalmology
|September 28, 2025
概括
静脉内注射 (IVI) 经常会用油 (SiO) 污染眼睛,导致漂浮物. 使用无SiO注射器和附着针可能会降低这些风险,但需要进一步的试验.
科学领域:
- 眼科医生 眼科 眼科
- 视网膜疾病 视网膜疾病
- 医疗器械污染 医疗器械污染
背景情况:
- 静脉内注射 (IVI) 是视网膜疾病的标准治疗方法.
- 人们对IVI污染的油 (SiO) 存在担忧,可能导致视觉障碍,如浮动物和炎症.
研究的目的:
- 为了评估IVI后内SiO的患病率.
- 评估SiO污染和漂浮物之间的关联.
- 为了确定在IVI期间导致SiO污染的因素.
主要方法:
- 在PubMed,Embase和Cochrane数据库中的系统文献搜索.
- 十项研究的单臂元分析,包括1583个眼睛.
- 根据注射器和针类型进行子组分析;注射频率的元回归.
主要成果:
- 在IVI后,内SiO (57.56%) 和浮体 (27.85%) 的高患病率.
- 钉入针的SiO患病率明显高于可固定针.
- 化注射器的污染率高于没有SiO的注射器 (OR 0.05).
结论:
- IVI通常与内SiO和随后的浮体有关.
- 注射器和刺针是潜在的污染来源.
- 采用无SiO注射器和可附着针可以减轻并发症;建议进行RCT.
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