昏迷患者角膜病变危险因素分析  

Analysis of Risk Factors of Corneal Defects in Coma Patients

作　　者：李铮[1] 陆肇曾[2] 曹艳佩[2] 翁欢[2] 顾妙娟[2] 卢惠娟[1] 

机构地区：[1]复旦大学护理学院,上海200032 [2]复旦大学华山医院,上海200032

出　　处：《护理学杂志》2008年第24期5-7,共3页

基　　金：复旦大学护理学院科研基金资助项目(FNS200703)

摘　　要：目的评估昏迷患者角膜病变的发生状况并分析其危险因素,为临床专科护理实践策略的发展提供依据。方法采用研究对象情况调查问卷并借助荧光染色和便携式裂隙灯对重症监护室的102例昏迷患者进行测评和分析。结果昏迷患者角膜上皮脱落的发生率达12.7%。眼睑闭合不全、镇静剂的使用、瞳孔检查的间隔时间是发生角膜病变的危险因素(均P<0.05)。结论昏迷患者有较高的角膜病变发生率,尤其是眼睑闭合不全和使用镇静剂的患者,以预防为主的眼部护理应成为重症护理的必要组成部分。Objective To explore the incidence and the risk factors of corneal defects in coma patients, and to provide information for clinical nursing practice. Methods One hundred and two coma patients staying in the intensive care units of a hospital were recruited in this study. They were investigated with a questionnaire in terms of demographic and disease-associated variables. They were also examined for corneal epithelial erosion by fluorescent staining and a porta- ble slit lamp. Results Corneal epithelial erosion was presented in 12.7 ~//00 of the patients. Lagophthalmos patients, seda- ted patients and frequently examined patients were at high risk of developing corneal defects（P^0.05 for all）. Conclu- sion The coma patients are more susceptible to corneal defects, which are especially common in the lagophthalmos and sedated patients. Preventive eye care should be considered as an important component of critical nursing.

关 键 词：昏迷患者 角膜病变 镇静剂 瞳孔检查 眼睑闭合不全 危险因素 护理 

分 类 号：R473.77[医药卫生—护理学]