探析老年白内障患者眼内感染实施预防护理措施的临床效果  

Analysis of the Clinical Effects of Preventive and Nursing Measures for Intraocular Infection in Elderly Cataract Patients

作　　者：陈芳妮 杨娟[1] 陈玲[1] 邓玲玲 CHEN Fangni;YANG Juan;CHEN Ling;DENG Lingling(Nanfang Hospital,Southern Medical University,Guangzhou,Guangdong Province,510000 China)

机构地区：[1]南方医科大学南方医院,广东广州510000

出　　处：《中外医疗》2021年第11期114-116,共3页China & Foreign Medical Treatment

摘　　要：目的探讨对于老年白内障患者眼内感染实施预防性护理措施的临床效果。方法简单随机选取该院眼科2016年3月—2018年3月收治诊断为白内障为诊断拟择期行白内障超声乳化手术治疗的老年患者100例,随机数表法分成对照组与治疗组两组,每组50例,对照组采用常规护理干预,治疗组实施预防护理措施。对照两组患者不同时间段眼压、视力水平、眼内感染及并发症发生率。结果治疗前视力水平与手术后12 h眼压水平两组相比差异无统计学意义(P>0.05)。治疗组患者术后24、48 h眼压水平明显低于对照组且出院前、1个月随访时视力水平高于对照组,差异有统计学意义(P<0.001)。治疗组患者并发症发生率为2.00%,眼内感染率为0.00%,而对照组并发症发生率为18.00%,眼内感染发生率为12.00%,差异有统计学意义(χ^(2)=7.111、4.433,P=0.008、0.035)。结论对于白内障老年患者而言,采取预防护理措施,可明显降低患者在术后不同时间段的眼压水平,改善术后视力水平,降低眼内感染及并发症的发生率,效果理想。Objective To explore the clinical effect of preventive nursing measures for intraocular infection in elderly cataract patients.Methods From March 2016 to March 2018,100 elderly patients who were simple randomly selected and diagnosed with cataract and planned to undergo phacoemulsification for cataract were treated in the ophthalmology department of the hospital.Random number method was used to divide the patients into two groups:control group and treatment group.50 cases in each group,the control group adopted conventional nursing intervention,and the treatment group adopted preventive nursing measures.The intraocular pressure,visual acuity level,intraocular infection and the incidence of complications were compared between the two groups of patients at different time periods.Results The visual acuity level before treatment and the intraocular pressure level 12 h after the operation had no statistically significant difference between the two groups(P>0.05).The intraocular pressure levels of the patients in the treatment group were significantly lower than those in the control group at 24 h and 48 h after the operation,and the visual acuity levels before discharge and 1 month follow-up were higher than those in the control group,the difference was statistically significant(P<0.001).The complication rate in the treatment group was 2.00%,and the intraocular infection rate was 0.00%,while the complication rate in the control group was 18.00%,and the intraocular infection rate was 12.00%.The difference was statistically significant(χ^(2)=7.111,4.433,P=0.008,0.035).Conclusion For elderly patients with cataract,taking preventive care measures can significantly reduce the patient's intraocular pressure at different time periods after surgery,improve postoperative visual acuity,and reduce the incidence of intraocular infections and complications.The effect is ideal.

关 键 词：老年白内障患者 眼内感染 预防护理措施 临床效果分析 

分 类 号：R779[医药卫生—眼科]