摘要
目的：探讨翼状胬肉切除术围术期护理方法。方法本次共选择20例翼状胬肉切除术患者作研究对象，均为我院眼科2013年1月～2014年1月收治，在围手术期加强全面、整体的护理干预，回顾临床资料及干预前后心理状况和生活质量。结果本组20例（27眼）术后早期裂隙灯显微镜下观察，眼部均水肿充血，眼痛伴流泪及异物刺激感，3d 后明显减轻。角膜上皮1～2周修复，植片均1期愈合，无脱落和溶解溃烂。拆线后无继发性青光眼、白内障等并发症，无排斥反应及感染，植片成活。平均随访6个月，无复发病例。干预后 HAMD 焦虑评分明显降低，生活质量评分明显升高，与干预前差异有统计学意义（P ＜0.05）。结论加强翼状胬肉围术期整体护理干预，可显著提高手术质量，改善患者心理状况，防范不良事件发生，具有非常积极的应用价值。
Objective To explore perioperative nursing care in excision of pterygium. Methods 20 patients who were admitted by ophthalmology of our hospital from January 2013 to January 2014 and received excision of pterygium were selected as research subjects. Comprehensive and holistic nursing care was enforced during perioperative period. Clinical data, psychological status and life quality before and after interference were reviewed. Results 20 cases （27 eyes） were observed under slit-lamp microscope in early period of post operation, and found ocular edema and hyperemia and ophthalmodynia with tears and foreign body sensation. And these symptoms were alleviated after three-dimension. Corneal epithelium was repaired between 1 to 2 weeks, and corneal grafts were all healed at 1 stage without drop, dissolution or fester. Incidence of complications including secondary glaucoma and cataract didn＇t occur after taking out stitches without rejection reaction or infection, and the corneal grafts survived. The average follow-up visit period was 6 months without any recurrent cases. Scores of HAMD anxiety was significantly reduced and scores of life quality was significantly increased after interference, which was statistically different compared with that before interference （P 〈 0.05）. Conclusion Strengthening perioperative holistic nursing interference in excision of pterygium can significantly improve surgery quality and patients＇ psychological status, and prevent adverse events, which is worthy of application.
出处
《中国医药科学》
2015年第10期121-123,共3页
China Medicine And Pharmacy
关键词
翼状胬肉切除术
围术期
护理体会
Excision of pterygium
Perioperative period
Nursing care
