角膜后弹力层剥除内皮移植术治疗大疱性角膜病变患者的围手术期护理  

Perioperative nursing of Descemet stripping with endothelial keratoplasty for buiious keratopathy

作　　者：刘雪花 肖惠明 邵应峰 黄杰慧 黄惠群 

机构地区：[1]中山眼科中心角膜科,广州510060

出　　处：《中国实用护理杂志》2010年第8期51-53,共3页Chinese Journal of Practical Nursing

基　　金：广东省医学科学技术研究基金（A2008209）

摘　　要：目的 探讨角膜后弹力层剥除内皮移植术治疗大疱性角膜病变的护理方法.方法 对22例接受角膜后弹力层剥除内皮移植术的大疱性角膜病变患者于术前有针对性加强心理护理,认真做好术前准备,术后指导督促患者坚持面朝上平卧位,注重并发症的观察及护理.结果 22例患者术后4 d都能坚持面朝上平卧位,2例发生植片移位,重新注气复位后贴附良好,7例术后高眼压,经过及时处理,均治愈出院.结论 做好充分术前评估和准备,能减少术后并发症,严格执行面朝上平卧位体位、及时观察和处理并发症是保障手术成功的关键.Objective To discuss nursing care of patients underwent corneal Descemet stripping endothelial keratoplasty to treat bullous keratopathy. Methods 22 patients who underwent corneal Descemet stripping endothelial keratoplasty to treat bullous keratopathy accepted strengthened psychological care, perfect preoperatively preparation, to sleep in face-up supine position, meanwhile complications were observed and treated carefully. Results 22 patients could persist in sleeping in face-up position for 4days postoperatively. Graft shift occurred in two cases. And after gas reinjection the grafts adhered very well. Intraocular pressure rose in 7 cases .After timely treated these 7 patients were cured and discharged. Conclusions Careful preoperative evaluation and preparation could reduce postoperative complication. Strict measures to keep patients sleeping in face-up supine position, timely observation and treatment of complications should be important to ensure the success of the operation.

关 键 词：角膜后弹力层 角膜移植 护理 

分 类 号：R473.77[医药卫生—护理学]