15例自膨胀水凝胶眶内植入术患儿的围手术期护理  

Perioperative nursing of 15 children with self-expanding hydrogel orbital implantation

作　　者：陈慧清 姚抒予 刘雪花[1] 肖惠明[1] CHEN Huiqing;YAO Shuyu;LIU Xuehua;XIAO Huiming(Department of Ocular Plastic, Zhongshan Ophthalmic Center of Sun Yat-sen University,State Key Laboratory of Ophthalmology, Guangzhou 510060, China)

机构地区：[1]中山大学中山眼科中心眼整形病区国家眼科学重点实验室

出　　处：《眼科学报》2019年第3期177-180,共4页Eye Science

基　　金：中山大学中山眼科中心五个五临床专科建设(3030901010071)~~

摘　　要：本文总结了15例自膨胀水凝胶眶内植入术患儿围手术期的护理要点。术前主要评估患儿是否完善术前检查,给予患儿及其家属个性化的心理护理,进行术前准备以及禁食禁饮的管理。术后主要给予患儿安全管理,饮食、疼痛、眼部用药以及弹力绷带包扎护理,关注有无并发症的发生及给予相应的护理,并对患儿及其家属做好出院指导。15例患儿均顺利完成手术,术后均出现术眼疼痛,2例出现眶压增高,1例出现呕吐,均得到妥善处理。术后随访3~18个月,患儿均获得了较为满意的眼部外观,生活质量得到了提高。This paper summarized the nursing experience of 15 children with self-expanding hydrogel orbital implantation during perioperative period. Before operation, children were fully evaluated, given with psychological care, preoperative preparation and management of fasting and drinking. After the surgery, the patients were mainly given with safety management, diet, pain, medicine and elastic bandage dressing care. Nurses should pay attention to the occurrence of complications and give corresponding nursing care and offer useful discharge guidance for the children and their parents. All 15 children completed the operation successfully, postoperative eye pain occurred in 15 cases after operation, and the orbital pressure increased in 2 cases, 1 case vomited, and all cases were properly treated. After postoperative follow-up for 3–18 months, 15 children were satisfied with the appearance of the eye, and the life quality was improved.

关 键 词：自膨胀水凝胶 围手术期 护理 

分 类 号：R473.77[医药卫生—护理学]