Grave’s眼病内窥镜下经筛径路眼眶减压术患者的护理  

Nursing of patients with Grave＇s opththalmopathy undergoing endoscopic trans- ethmoid orbital decompression

作　　者：陈华蓉[1] 施颖辉[1] 吴淑慧[1] 余林敏[1] 张茜[1] 涂云海[1] 吴文灿[1] 

机构地区：[1]温州医学院附属眼视光医院 浙江省眼科医院,325000

出　　处：《中国实用护理杂志》2011年第17期43-45,共3页Chinese Journal of Practical Nursing

摘　　要：目的探讨内窥镜下经筛径路眼眶减压术（endoscopic transethmoid orbital decompression，ETOD）治疗Grave’s眼病（Grave’s ophthalmopathy，GO）的有效护理措施。方法分析31例（57只眼）在我科实施ETOD的治疗及临床护理经验。结果31例GO患者经过有效的治疗和精心护理，出院时31例（57只眼）眼球突出度均矫正满意，9例（16只眼）视力下降患者术后均有所提高。术后并发眼球移位2例。结论积极的治疗与有效的护理，是提高手术安全性，减少并发症的有效保障。Objective To introduce an effective nursing practice for patients with Grave＇s ophthalmopathy（GO） undergoing endoscopic trans-ethmoid orbital decompression（ ETOD ）. Methods The treatment and nursing experience of 31 cases （57 eyes） undergoing orbital decompression through endoscopic trans-ethmoid approach were reviewed and analyzed. Results Three months after operation, exophthalmos was corrected in all 31 cases （57 eyes） with satisfying result, and the visual acuity was improved in all 9 cases （16 eyes）,who complained of visual loss preoperatively. At the 3-months＂ review, 2 patients presented diplopia on the primary eye position due to newly on-set global displacement. Conclusions Advanced treatment and careful nursing are very important to improve the surgical safety and decrease the complications.

关 键 词：眶减压术 内窥镜技术 护理 

分 类 号：R473.77[医药卫生—护理学]