摘要
[目的]探讨运动康复与心理干预对青光眼病人术后眼压和眼血流的影响。[方法]将140例原发性青光眼病人根据随机数字表法分为治疗组与对照组各70例,所有病人均行早期激光虹膜周边切开术,对照组术后给予常规护理,治疗组在此基础上术后采用积极地运动康复与心理干预,干预周期均为6周。[结果]两组病人均手术成功,干预后两组视力都明显高于干预前(P<0.05)。干预后两组眼压都明显低于干预前(P<0.05),同时干预后治疗组眼压明显低于对照组(P<0.05)。干预后两组视网膜中央动脉收缩期峰值血流速度与舒张末期血流速度明显高于干预前,而阻力指数明显低于干预前(P<0.05),同时干预后治疗组视网膜中央动脉收缩期峰值血流速度与舒张末期血流速度明显高于对照组,而阻力指数明显低于对照组(P<0.05)。干预后治疗组躯体化、强迫、人际关系、抑郁、焦虑评分明显低于对照组(P<0.05)。[结论]青光眼病人术后应用运动康复与心理干预可以有效保证视力提高,降低眼压,改善眼血流状况,提高病人的生活质量。
Objective：To probe into the influence of exercise rehabilitation and psychological intervention on postoperative intraocular pressure and ocular blood flow in patients with glaucoma.Methods：A total of 140 patients with primary glaucoma were randomly divided into treatment group and control group based on random number table method,70 cases in each.All patients underwent early laser peripheral incision,and the patients in control group received postoperative routine nursing.The patients in treatment group received the active exercise rehabilitation and psychological intervention on the basis of routine nursing.The intervention cycle was for 6weeks.Results：The operations on the patients in both groups were successful,and the vision of the patients in both groups after intervention was significantly higher than that before intervention（P〈0.05）.The intraocular pressure in both groups after intervention was significantly lower than that before intervention（P〈0.05）,and the intraocular pressure of patients in treatment group was significantly lower than that in control group（P〈0.05）.After intervention,the systolic peak blood flow velocity and diastolic blood flow velocity of central retinal artery in both groups were significantly higher than that before intervention,and the resistance index was significantly lower than that before intervention（P〈0.05）.At the same time,the systolic peak blood flow velocity and diastolic blood flow velocity of central retinal artery in treatment group were significantly higher than that in control group,while the resistance index of the treatment group was significantly lower than that in control group（P〈0.05）.Conclusion：The postoperative exercise rehabilitation and psychological intervention can effectively improve the vision,reduce the intraocular pressure,improve the blood flow and enhance the quality of life of glaucoma patients.
出处
《护理研究（下旬版）》
2015年第11期4115-4118,共4页
Chinese Nursing Researsh
基金
广东省卫生厅课题
编号:A2014043
关键词
青光眼
运动康复
心理干预
眼压
眼血流
glaucoma
exercise rehabilitation
psychological intervention
intraocular pressure
ocular blood flow
