加压包扎预防继发性前房积血  

The Study of the Effect of Bandaging for Preventing Rebleeding

作　　者：方秋云[1] 郭露萍[1] 洪国贞[1] 陈振谦[1] 

机构地区：[1]广州医学院第二附属医院眼科,广州510260

出　　处：《广州医学院学报》2004年第1期52-54,共3页Academic Journal of Guangzhou Medical College

摘　　要：目的 :探讨加压包扎挫伤性前房积血 (BTH)眼预防继发性前房出血 (REB)的效果。方法 :回顾性研究 ,根据是否采用加压包扎治疗将年龄大于 6岁的BTH患者分为两治疗组 :包扎组和对照组 ,前者 72例 72眼 ,给予绷带加压包扎前房出血眼 ,另眼加纱布块遮盖 ;对照组 39例 39眼 ,给予双眼纱块遮盖 ,其他治疗原则相同。统计观察 7天内REB的例数。结果 :加压包扎组发生REB 9例 ,发生率是 15 .0 %。对照组发生REB者11例 ,发生率为 2 8.2 % ,两组REB发生率的差异有统计学显著性意义 (P <0 .0 5 ,χ2 =4 .2 2 )。结论 :加压包扎BTH眼预防REB效果显著。Objective:To study the effect of pressure bandaging for preventing rebleeding(REB) of blunt traumatic hyphema.(BTH). Methods: All 111 BTH patients over 6 years old were divided into two groups:bandaging group and control group, retrospectively. There were 72 eyes of 72 patients in bandaging group, all of their BTH eyes were given pressure bandaging and the other eyes patched or shielded with gauze. There were 39 eyes of 39 patients in control group, both of their BTH eyes were patched or shielded with gauze. Both group had identical treatment otherwise. All patients of both group were observed within 7 days after trauma and analyzed statistically. Results: Nine patients had REB in bandaging group, with the incidentce rate of 15.0%. Eleven REB occurred in control group and the rate was 28.2%. The difference of the two rates of the two groups was significant statistically (P<0.05, χ 2=4.22). Conclusion: The effect of pressure bandaging for preventing rebleeding is significant

关 键 词：前房出血 外伤 加压包扎 

分 类 号：R777.2[医药卫生—眼科]