责任制护理在激光光凝治疗糖尿病视网膜病变中的应用及对患者黄斑水肿吸收与新生血管消退的影响  

Application of responsible nursing in laser photocoagulation for diabetic retinopathy and its effect on the absorption of macular edema and regression of neovascularization

作　　者：杨菲 Yang Fei(Department of Ophthalmology,Second Hospital of Tianjin Medical University,Tianjin 300211,China)

机构地区：[1]天津医科大学第二医院,天津300211

出　　处：《首都食品与医药》2024年第1期128-131,共4页Capital Food Medicine

摘　　要：目的讨论激光光凝治疗糖尿病视网膜病变(DR)的疗效和责任制护理实践效果。方法收集2020年1月-2022年1月天津医科大学第二医院眼科收治的100例(200只眼)DR患者的临床医学资料,全部患者均采用激光光凝医治。采用随机数字表法,将患者任意分成研究组和对照组,每组各50例(100只眼)。对照组开展传统式护理,研究组在对照组基础上开展责任制护理干预。结果对照组28例(56只眼)临床医学效果明显,占56.00%;有效者16例(32只眼),占32.00%;无效6例(12只眼),占12.00%。研究组临床疗效显著31例(62只眼),占62.00%;有效14例(28只眼),占28.00%;无效5例(10只眼),占10.00%。两组患者的临床疗效对比,差异无显著性,不具有统计学意义(P>0.05)。两组患者的满意程度没有显著性差别(P>0.05)。治疗后,研究组患者的调节能力、日常生活能力、生活质量总评分均明显优于对照组,两组间差异明显(P<0.05)。两组新生血管变化、黄斑水肿变化比较,具有可比性,差异有统计学意义(P<0.05)。结论激光光凝是治疗DR的有效途径,配合责任制护理干预有益于护理满意度以及患者生活质量提高,促进黄斑水肿吸收与新生血管消退。Objective To discuss the effect of laser photocoagulation in the treatment of fundus disease(DR)and the effect of responsibility nursing practice.Methods A total of 100 patients(200 eyes)admitted to the Department of Ophthalmology,Second Hospital of Tianjin Medical University from January 2020 to January 2022 were collected according to the clinical medical literature of DR patients.All patients were treated with laser photocoagulation.The patients were randomly divided into study group and control group with 50 cases(100 eyes)in each group.The control group carried out traditional nursing,and the research group carried out basically responsible nursing intervention in the control group.Results In the control group,28 cases(56 eyes)had obvious clinical effect,accounting for 56.00%;16 cases(32 eyes)were effective,accounting for 32.00%;6 cases(12 eyes)were ineffective,accounting for 12.00%.In the study group,31 cases(62 eyes)had significant clinical efficacy,accounting for 62.00%;effective in 14 cases(28 eyes),accounting for 28.00%;5 cases(10 eyes)were ineffective,accounting for 10.00%.There was no significant difference in clinical efficacy between the two groups(P>0.05).There was no significant difference in satisfaction between the two groups(P>0.05).After treatment,the total scores of adjustment ability,living ability and quality of life in the study group were significantly better than those in the control group,and there were significant differences between the two groups(P<0.05).The changes of neovascularization and macular edema in the two groups were comparable,and the differences were statistically significant(P<0.05).Conclusion Laser photocoagulation is an effective way to treat Dr.Nursing intervention with responsibility system is beneficial to nursing satisfaction and quality of life,promoting macular edema absorption and regression of neovascularization.

关 键 词：糖尿病视网膜病变 激光光凝 临床疗效 

分 类 号：R473.77[医药卫生—护理学]