护理干预对新生血管性青光眼术后不良反应的影响  

Influence of nursing interference on the occurrence of adverse reaction after cyclocryotherapy in patients with neovascular glaucoma

作　　者：任晓静[1] 陈玉敏[1] 赵艳霞[1] 

机构地区：[1]解放军总医院南楼临床部,北京100853

出　　处：《感染．炎症．修复》2009年第4期222-223,共2页Infection Inflammation Repair

摘　　要：目的:探讨护理干预对睫状体冷冻术治疗新生血管性青光眼患者疗效的影响。方法:84例(91眼)行睫状体冷冻术的新生血管性青光眼患者根据入院时间分为干预组48例(51眼)和对照组36例(40眼)两组。2008年1—12月入院治疗的对照组给予常规护理,2009年1—7月入院治疗的干预组在对照组常规护理的基础上实施特殊心理护理、疼痛和睡眠的物理疗法及出院指导等护理干预,观察患者术后眼压、视力变化及眼部情况和全身不适的发生情况。结果:所有患者眼压均得到控制,两组治疗后眼压变化和视力改变情况差异无显著性,但干预组与对照组比较术后全身不适反应明显减轻(P<0.01)。结论:对新生血管性青光眼行睫状体冷冻术后,实施护理干预有一定辅助治疗价值。Objective：To investigate the influence of nursing interference on the healing effect after cyclocryotherapy in patients with neovaseular glaucoma. Methods： Eight-four cases （91 eyes） with neovascular glaucoma were divided into two groups： 36 cases （40 eyes） who were admitted from January to February 2008 constituted the control group, and 48 eases （51 eyes） who were admitted from January to July 2009 were enrolled in the interference group. All the patients received cyclocryothreapy. Based on the routine nursing methods of control group, special psychological nursing, physiotherapy for pain and sleep, directional advices at discharge from hospital were given to the patients in the interference group. Changes in intra-ocular pressure, sight, condition of the eye, and physical discomfort were observed. Results：The intraocular pressure of all 91 eyes were controlled. The difference of changes in intraocular pressure and eyesight was not significant between the two groups, hut physical discomfort after operation was significantly reduced in the interference group compared to the control group. Conclusion： Implementation of nursing interference affords an adjunctive therapeutic effect after cyclocryotherapy in patients with neovascular glaucoma.

关 键 词：青光眼 新生血管性 睫状体冷冻术 护理干预 

分 类 号：R775[医药卫生—眼科] R473.6[医药卫生—临床医学]