视网膜脱离患者行玻璃体切割联合眼内填充手术后体位管理研究进展  

Research progress on postural management of patients with retinal detachment undergoing vitrectomy combined with intraocular filling

作　　者：江绍荣[1] 谭丽萍[2] Jiang Shaorong;Tan Liping(Lixiang Eye Hospital of Soochow University,Suzhou 215000,China;Department of Ophthalmology,The Second Affiliated Hospital of Soochow University,Suzhou 215004,China)

机构地区：[1]苏州大学理想眼科医院,苏州215000 [2]苏州大学附属第二医院眼科,苏州215004

出　　处：《中华眼底病杂志》2024年第9期738-743,共6页Chinese Journal of Ocular Fundus Diseases

基　　金：苏州市医学重点学科项目(SZXK202102)。

摘　　要：玻璃体切割手术(PPV)联合眼内填充是治疗视网膜脱离(RD)的主要手术方式之一。由于填充物质的使用,患者手术后需执行特定体位,以促进视网膜复位,减少并发症的发生。目前,此类手术患者在执行体位管理的过程中存在依从性低、监测管理不足等问题。临床医护人员对改善体位管理质量进行了积极的探索,但仍未形成相应的规范与共识。各地执行的标准与医护经验度相关较大。医护对于患者体位执行情况的评价,多依靠患者自我报告或护士巡查记录,缺乏连续性与准确性,未来需进一步推动辅助工具研发与转化,借助人工智能对患者实施科学监测与管理,根据患者病情,制定个体化方案并动态调整,保障治疗效果并提升患者满意度。Pars plana vitrectomy(PPV)combined with intraocular tamponade surgery is one of the main surgical methods for treating retinal detachment.Due to the use of filling substances,patients need to maintain specific postures after the operation to promote retinal reattachment and reduce the occurrence of complications.Currently,during the process of performing postural management for such surgical patients,there are problems such as low compliance and insufficient monitoring and management.Clinical medical staff have actively explored ways to improve the quality of positioning management,but no corresponding norms and consensus have been formed.The standards implemented by different places are closely related to the degree of medical experience.The evaluation of the performance of the patient's position by the medical care mainly relies on the patient's self-report or the nurse's inspection record,which lacks continuity and accuracy.In the future,it is necessary to further promote the development and transformation of auxiliary tools,implement scientific monitoring and management of patients with the help of artificial intelligence,formulate individualized plans and dynamically adjust them according to the patient's condition,and ensure the effect and improve patient satisfaction.

关 键 词：视网膜脱离 玻璃体切割手术 护理 体位管理 综述 

分 类 号：R473.77[医药卫生—护理学]