泪总管阻塞患者泪道再通管植入手术围术期护理效果  

Effect of perioperative care on recanalization tube intubation in lacrimal duct obstruction patients

作　　者：张文[1] 徐国旭[1] ZHANG Wen;XU Guoxu(Depar tment of Ophthalmology ,The Second Affiliated Hospital of Soochow University,Suzhou,Jiangs u ,215004)

机构地区：[1]苏州大学附属第二医院眼科中心,江苏苏州215004

出　　处：《实用临床医药杂志》2018年第10期86-89,共4页Journal of Clinical Medicine in Practice

摘　　要：目的分析泪道再通管植入围术期护理对泪总管阻塞患者手术疗效的影响。方法回顾性分析行泪道再通管植入手术的110例128眼泪总管阻塞患者,比较术前泪道探通、术后泪道冲洗及术后规律抗炎等围术期护理对泪道再通管植入术手术有效率的影响。结果泪总管阻塞患者总手术成功率为87.5%;泪道再通管植入手术成功率与术前泪道探通、术后泪道冲洗及规律抗炎有关:手术有效率随术前泪道探通次数增多而降低(P<0.05);术后泪道冲洗次数过多或过少均降低手术有效率(P<0.05);术后规律抗炎可有效提高手术有效率(P<0.05)。结论泪总管阻塞患者泪道再通管植入术围术期护理对手术成功率有重要影响。Objective To evaluate the influence of perioperative care on clinical efficacy of recanalization tube intubation. Methods The data of 110 lacrimal duct obstruction cases（128 eyes） underwent implantation of lacrimal duct recirculation tube were retrospectively analyzed And effect of perioperative nursing such as preoperational probing,postoperative irrigation and postoperative antiinflammatory conditions on success rate of lacrimal duct recirculation were analyzed. Results The total efficiency rate of lacrimal duct obstruction cases was 87. 5%. The success rate of lacrimal duct recirculation was correlated with preoperative probing,postoperative irrigation and postoperative antiinflammatory（P〈0. 05）,and was decreased with the times of probing in lacrimal duct（P〈0. 05）.Postoperative lacrimal tract washing times can reduce the surgery efficiency（P〈0. 05）,and postoperative anti-inflammatory can effectively improve the surgery efficiency（P〈0. 05）. Conclusion Perioperative care is of great importance on the success rate of the lacrimal duct recirculation implantation for patients with lacrimal duct obstruction.

关 键 词：围术期护理 泪道再通管植入术 

分 类 号：R473.77[医药卫生—护理学]