微创玻璃体切除术后早期高眼压发生的相关因素分析  

Analysis of related factors of early intraocular hypertension after minimally invasive vitrectomy

作　　者：张红丽[1] 白春丽[1] 杨海棠 ZHANG Hong-li;BAI Chun-li;YANG Hai-tang

机构地区：[1]宁夏医科大学总医院眼科

出　　处：《护理实践与研究》2020年第2期17-20,共4页Nursing Practice and Research

摘　　要：目的探讨影响微创玻璃体切除术后早期高眼压发生的相关因素。方法选取2018年1月至2019年6月在我院行微创玻璃体切除术的患者226例(304眼)为研究对象,回顾性收集和调查患者术后早期高眼压发生现状及资料,对微创玻璃体切除术后患者早期高眼压发生的相关影响因素进行分析。结果在226例(304眼)患者中术后1周内发生高眼压的患者24例(28眼),单因素分析显示,是否高度近视、是否有基础疾病、切头类型、手术时间、术中视网膜激光光凝术、玻璃体腔填充物、是否有术后眼内出血、术后前房炎症反应、术后眼压波动均为微创玻璃体切除术后早期高眼压发生的相关影响因素(P <0. 05);多因素回归分析结果显示,基础疾病、玻璃体腔填充物、术后前房炎症反应及术后眼压波动均为微创玻璃体切除术后早期高眼压发生的独立危险因素。结论导致微创玻璃体切除术后早期高眼发生的影响因素较多,而本研究证实基础疾病、玻璃体腔填充物、术后前房炎症反应及术后眼压波动均为导致微玻璃体玻除切术后早期高眼发生的独立影响因素。Objective To explore the related factors that affect the occurrence of early intraocular hypertension after minimally invasive vitrectomy.Methods We selected 226 cases of patients( 304 eyes) who underwent minimally invasive vitrectomy in our hospital from January 2018 to June 2019 as the study subjects. The current status and data of early postoperative intraocular hypertension in patients were collected and investigated retrospectively. The related influencing factors of early intraocular hypertension in patients after minimally invasive vitrectomy were analyzed. Results Among the 226 cases of patients( 304 eyes),24 cases of patients( 28 eyes) had intraocular hypertension within 1 week after operation. Univariate analysis showed that the whether they were highly myopic,there were any underlying diseases,type of cutting head,operation time,intraoperative retinal laser photocoagulation,vitreous cavity filling,whether there was postoperative intraocular hemorrhage,postoperative anterior chamber inflammatory response,and postoperative intraocular pressure fluctuations,which were all related influencing factors of early intraocular hypertension after minimally invasive vitrectomy( P < 0. 05). Multivariate logistic regression analysis showed that the underlying diseases,vitreous cavity filling,postoperative anterior chamber inflammatory response,and postoperative intraocular pressure fluctuations,which were all independent risk factors of early intraocular hypertension after minimally invasive vitrectomy.Conclusion There were many influencing factors that lead to the occurrence of intraocular hypertension in the early stage after minimally invasive vitrectomy,and this study confirmed that underlying diseases,vitreous cavity fillings,postoperative anterior chamber inflammation,and postoperative intraocular pressure fluctuations were all Independent influencing factors lead to early intraocular hypertension after minimally invasive vitrectomy.

关 键 词：微创玻璃体切除术 早期高眼压 相关因素 

分 类 号：R473.77[医药卫生—护理学]