固定棉片加压包扎治疗浅前房  

Compression Bandage Treatment of Shallow Anterior Chamber with Fixed Cotton Piece

作　　者：李霞 张燕[1] 董晓云 刘毅 

机构地区：[1]新疆军区总医院北京路临床部眼科中心,新疆乌鲁木齐

出　　处：《眼科学》2019年第2期61-65,共5页Hans Journal of Ophthalmology

基　　金：省部级科研基金项目:CLZI3JB29 小梁组织修复角膜缺损的机制及临床应用。

摘　　要：目的:探讨应用“固定棉片”加压包扎治疗青光眼术后浅前房的疗效和安全性。方法:回顾性研究青光眼术后发生浅前房患者(因滤过过强),用散瞳睫状肌麻痹剂、脱水剂后对眼部进行加压包扎。对照组:2002.01~2010.01我科治疗青光眼浅前房的方法,将无菌棉球搓成枣核形,加置在眼睑皮肤面外,用医用胶布固定,绷带缠绕进行轻加压包扎;观察组:2010.02~2018.02我科治疗青光眼浅前房的方法,将“枣核形”更换为“固定棉片”(本人设计)进行加压包扎。观察患者加压包扎后前房成形率、眼压变化、视力及并发症(角膜皱褶、浅前房恶化)情况。结果:对照组:加压包扎次日前房成形率75.0%,角膜皱褶、水肿31.8%,前房延缓形成及浅前房恶化形成恶性青光眼11.4%,1周眼压平均为(25.9 ±11.2) mm?Hg,术后1个月眼压平均为(20.5 ±8.5) mm?Hg,此后眼压平稳,术后12个月眼压平均为(17.8 ±10.4) mm?Hg。观察组:加压包扎次日前房成形率89.4%,角膜皱褶、水肿10.6%,前房延缓形成及浅前房恶化形成恶性青光眼9.1%,1周眼压平均为(23.4 ±9.2) mm?Hg,术后1个月眼压平均为(20.5 ±8.5) mm?Hg,此后眼压平稳,术后12个月眼压平均为(17.8 ±10.4) mm?Hg。结论:固定棉片加压包扎较传统加压包扎法,前房成形率高,无明显严重并发症。固定棉片加压包扎是治疗因青光眼术后浅前房(因滤过过强)安全而有效的治疗方法之一。Objective:To explore the application of“fixed cotton piece”compression bandage efficacy and safety of shallow anterior chamber after glaucoma surgery.Methods:A retrospective study with occurrence of shallow anterior chamber after glaucoma surgery patients,mydriatic or dehydrating agent after compression bandage on the eye.Control group:2002.01-2010.01 treatment of glaucoma shallow anterior chamber,the method of sterile cotton ball rub into jujube cary-omorphism,place outside the eyelid skin surface,fixed with medical tape and compression bandage;Observation group:2010.02-2018.02 replaced the“jujube caryomorphism”to“fixed cotton piece”and compression bandage.Then we observed the anterior chamber forming rate,intraocular pressure,vision and complications(corneal folds,deterioration of shallow anterior chamber).Results:The control group:The next day the anterior chamber forming rate was 75.0%,31.8%corneal folds,edema,the anterior chamber was delayed and deterioration of shallow anterior chamber to form malignant glaucoma 11.4%,average intraocular pressure for 1 weeks(25.9±11.2)mm?Hg,postoperative 1 month average intraocular pressure for(20.5±8.5)mm?Hg,thereafter intraocular pressure stable,average intraocular pressure after 12 months(17.8±10.4)mm?Hg.Observation group:The next day the anterior chamber forming rate was 89.4%,10.6%corneal folds,edema,the anterior chamber was delayed and deterioration of shallow anterior chamber to form 9.1%of malignant glaucoma,1 week intraocular pressure on average(23.4±9.2)mm?Hg,postoperative 1 month average intraocular pressure for(20.5±8.5)mm?Hg,average intraocular pressure after 12 months(17.8±10.4)mm?Hg.Conclusions:With“fixed cotton piece”and compression bandage,anterior chamber forming rate is high,no serious complications.Fixed cotton piece compression bandage is a safe and effective treatment method to treat glaucoma shallow anterior chamber.

关 键 词：浅前房 加压 包扎 

分 类 号：R47[医药卫生—护理学]