基于循证理论的临床路径对白内障翼状胬肉术后干眼症患者症状改善、睡眠质量的影响  

Effect of Evidence-based Clinical Pathways on Symptom Improvement and Sleep Quality of Patients with Dry Eye after Cataract Pterygium Surgery

作　　者：郑慧颖 魏见娣[1] 李乃洋[1] ZHENG Huiying;WEI Jiandi;LI Naiyang(Zhongshan People′s Hospital,Zhongshan 528400,China)

机构地区：[1]广东省中山市人民医院,中山528400

出　　处：《世界睡眠医学杂志》2021年第5期869-870,共2页World Journal of Sleep Medicine

摘　　要：目的:探究基于循证理论的临床路径管理白内障翼状胬肉术后干眼症的价值。方法:选取2019年8月至2020年12月广东省中山市人民医院收治的白内障翼状胬肉术后干眼症患者104例作为研究对象,按照随机数字表法分为观察组和对照组,每组52例。对照组施以常规管理,观察组施以基于循证理论的临床路径管理,比对2组症状改善与睡眠质量评分。结果:观察组术后干眼症状评分及睡眠质量评分均低于对照组,而泪膜破裂时间(BUT)高于对照组,差异有统计学意义(P<0.05)。结论:白内障翼状胬肉术后干眼症以基于循证理论的临床路径管理,可显著改善症状,提升睡眠质量。Objective:To explore the value of evidence-based clinical pathway for the management of dry eye after cataract pterygium surgery.Methods:A total of 104 patients with xerophthalmia after cataract pterygium surgery in Zhongshan People′s Hospital were selected.They were randomly divided into observation group and control group,52 cases in each group.The control group was treated with routine management,and the evidence-based clinical pathway management was observed.Symptomatic improvement and sleep quality scores were compared between the two groups.Results:The postoperative dry eye symptom score and sleep quality score in the observation group were lower than those in the control group,while the break uptime(BUT)score was higher than those in the control group,and the difference was statistically significant(P<0.05).Conclusion:Clinical pathway management based on evidence-based theory can significantly improve symptoms and sleep quality of cataract pterygium surgery.

关 键 词：临床路径 白内障翼状胬肉 干眼症 睡眠质量 

分 类 号：R776.1[医药卫生—眼科] R338.63[医药卫生—临床医学]