小梁切除术联合羊膜植入治疗难治性青光眼的护理  

The nursing of trabeculectomy unite amnia on remove curing refractory glaucoma

作　　者：刘凌[1] 朱朝花[1] 

机构地区：[1]广东医学院附属医院,广东湛江524001

出　　处：《基层医学论坛》2006年第5期461-462,共2页The Medical Forum

摘　　要：目的探讨小梁切除术联合羊膜植入治疗难治性青光眼的有效的护理措施。方法对20例(20只眼)难治性青光眼行小梁切除术联合羊膜植入治疗的患者进行观察和护理。结果20只眼中,形成功能性滤过泡18只眼,无功能滤过泡2眼,20只眼术后视力有不同程度提高,眼压控制在15￣20mmHg,全部病例无滤过泡漏,伤口漏,迟发性感染和排斥发应发生。结论小梁切除术联合羊膜植入治疗难治性青光眼能提高成功率,且安全、可靠。术前加强心理护理,完善术前准备。术后观察视力、眼压、羊膜植片、滤过泡等的变化,及时发现并正确处理术后并发症,做好术后健康教育和术后随访等是保证治疗成功的重要措施。Objective To disscuss the nursing of trabeculectomy unite amnia implantation curing refractory glaucoma.Methods Twenty patients who was cured by rabeculectomy unite amnia on remove was observed and nursed. Results 18 eyes appeared functional bleb and 2 eyes didn＇t..The visual acuity of 20 eyes have improved, the intraocular pressure was 15-20 mmHg .All patients had no disease associated with refractory glaucoma. Conclusion Trabeculectomy unite amnia implantation is a safe and effective therapy for refractory glaucoma. Strengthenning the nursing of preoperative and postoperative is an important measure on successful cure.

关 键 词：小梁切除 羊膜植入 难治性青光眼 护理 

分 类 号：R473.77[医药卫生—护理学]