玻璃体切除联合硅油填充术后应用俯卧位面部支架护理效果观察  

Observation of clinical application effect of self-designed facial support in prone position for patients after vitrectomy and silicone oil tamponade

作　　者：余桂香[1] 李凡[1] 柳玲[1] 万玮[1] 王靖[1] 

机构地区：[1]武汉大学人民医院眼科,430060

出　　处：《中国实用护理杂志（中旬版）》2009年第9期7-9,共3页Chinese Journal of Practical Nursing

基　　金：基金项目：湖北省卫生厅护理科研基金项目（200617）专利：国家实用新型专利（ZL200520096408X）

摘　　要：目的 探讨应用俯卧位面部支架对玻璃体切除联合硅油填充术后患者临床护理效果的影响。方法将100例视网膜脱离行玻璃体切除联合硅油填充术患者随机分为观察组和对照组各50例，观察组术后采用自行设计的俯卧位面部支架进行护理；对照组术后采用常规俯卧位护理，分别记录2组患者俯卧位持续时间，观察2组患者术后出现眼部不良反应及复发情况。结果经过临床观察和统计数据分析，观察组术后并发角膜水肿、高眼压、视网膜再脱离等并发症的发生率低于对照组，且较对照组俯卧位维持时间明显延长。结论玻璃体切除联合硅油填充术后采用俯卧位面部支架可显著减少患者术后因强迫体位带来的不适和痛苦，有助于提高患者的舒适度，使患者能按要求保持面朝下俯卧位，有效减少术后不良反应和并发症的发生，促进视网膜复位，提高手术成功率。Objective To evaluate the effect of using self-designed facial support in prone position for patients after vitrectomy and silicone oil tamponade. Methods 100 patients with vitrectomy and silicone oil tamponade were randomly divided into the experimental group and the control group with 50 patients in each group. The self-designed facial support in prone position was used in the experimental group, while the routing nursing measure was used in the control group. The ocular adverse effect and relapse rate were compared between the two groups. Results The incidence rate of corneal edema, increased intraocular pressure and retinal redetachment in the experimental group was higher than those in the control group, the time of keeping position in the experimental group was longer than that in the control group. Conclusions Self-designed facial support in prone position can decrease discomfort and pain caused by compulsive position, reduce the incidence of complications, improve retinal attachment and increase the successful rate for the patients with vitrectomy and silicone oil tamponade.

关 键 词：俯卧位面部支架 视网膜脱离 硅油填充 护理 

分 类 号：R779.6[医药卫生—眼科] R774.12[医药卫生—临床医学]