开角型青光眼患者行EX—PRESS引流钉植入术的护理  

Nursing of patients with primary open angle glaucoma underging implantation of EX-PRESS device

作　　者：吴小娟[1] 凌维恒[1] 肖惠明[1] 

机构地区：[1]中山大学中山眼科中心,广州510060

出　　处：《中国实用护理杂志》2013年第12期9-11,共3页Chinese Journal of Practical Nursing

基　　金：广东省医学科学技术科研基金资助项目（A2012199）

摘　　要：目的探讨开角型青光眼患者行EX．PRESS引流钉植入手术的护理措施。方法对12例行EX-PRESS引流钉植入手术的青光眼患者进行有针对性的术前宣教、细致的术中及术后护理，以及出院指导和随访。结果12例患者均治愈出院。其中2例术后发生浅前房、低眼压，1例发生虹膜堵塞引流钉内口，经积极处理后恢复。出院时眼压均在正常范围，视力与术前相比无明显降低。结论科学有效的护理有助于提高患者对青光眼的认识，对术式的理解及对随访的依从性，从而提高手术成功率。Objective To determine the nursing measures of patients with primary open angle glauco- ma undergoing implantation of EX-PRESS device. Methods 12 glaucomatous patients with EX-PRESS miniature glaucoma device received appropriate hygienic-education preoperatively, intensive nursing services during and after surgery, as well as health instructions in the follow-up period. Results 12 patients finally recovered from the surgery. The main post-operative complications were low tension and shallow anteri- or chamber（2 eyes）, obstruction of the device by iris （1 eye）. The intraocular pressures of all these pa- tients remained normal levels before discharge and the visual acuity were the same as those pre-opera- tion. Conclusions The effective nursing services for patients with EX-PRESS implantation is beneficial to the rehabilitation by increasing the adherence to the follow-up schedule, contributing to better under- standing the common sense of the disease and the choice of the surgery.

关 键 词：青光眼 EX-PRESS引流钉 护理 

分 类 号：R473.77[医药卫生—护理学]