重度眼球破裂伤术后疼痛的影响因素及护理  

Analysis of influential factor and nursing care for occurrence of postoperative pain in the severe ophthalmorrhexis patients

作　　者：陈云辉[1] 吴建国[1] 袁敏[1] 李玮[1] 

机构地区：[1]广州军区武汉总医院眼科,湖北武汉430070

出　　处：《东南国防医药》2009年第4期323-325,共3页Military Medical Journal of Southeast China

摘　　要：目的分析重度眼球破裂伤术后疼痛的影响因素，探讨相应的护理对策，提高术后患者生活质量。方法总结2005年10月～2007年12月收治的45例重度眼球破裂伤手术患者，根据患者性别、年龄及手术方式，分组分析其与疼痛程度之间的关系，针对引起患者术后疼痛的社会心理因素和病理生理因素，给予积极的预防和护理。结果45例患者中，33例发生疼痛，疼痛率73％，其中轻度疼痛24例，中度6例，重度3例。疼痛持续时间1—5天，平均2．4天。不同性别、年龄组之间疼痛差异无统计学意义，以Ⅰ期眼球摘除加义眼座植入术和显微缝合加球内注气术患者疼痛程度重。经给予止痛剂和镇静剂或降眼压药物联合应用，33例患者均能控制疼痛，无疼痛复发。结论恰当的药物应用和积极的护理干预，有助于促进重度眼球破裂伤手术后患者疼痛的治疗和康复。Objective To analyze the correlative factors of postoperative pain in serious ophthalmorrhexis patients and the effect of pharmacal treatment and nursing. Methods Forty-five serious postoperative ophthalmorrhexis patients were included in this study during the period of October 2005 to December 2007. The patients were grouped according to sexual, age and operation method. Active precaution and nursing were administered with respect to their social - psychological feature and pathophysiological factors. Results Thirty-three patients suffered from postoperative pain, of which twenty - four, six and three were mild, moderate and serious pain cases respectively. The duration of pain was from one to five days （ mean 2.4d）. There was no significant difference in the post - operation pain between the groups of different sexual and age. The feeling of pain was most obvious among the cases which had performed the timely HA implanted fol- lowing enucleation of eyeball and microsurgery in combination with gas tampon. Pain was released in all 33 patients after anodyne and antalgic or drugs lowering the ocular pressure were administered. There were not any withdrawal symptoms and pain never recurred. Conclusion Proper agents and active nursing was conduced to treatment and convalesce of the postoperative pain of serious ophthalmorrhexis patients.

关 键 词：眼球破裂伤 重度 术后疼痛 影响因素 护理 

分 类 号：R779.12[医药卫生—眼科]