摘要
目的 :对比分析糖尿病视网膜病变 (DR )与非糖尿病视网膜病变 (NDR)玻璃体切除过氟丙烷 (C3 F8)气体充填术后眼压变化与临床症状的发生时间及程度的关系 ,为正确实施护理干预提供依据。方法 :对住院行玻璃体切除C3 F8气体充填术的 5 5例 ( 5 5眼 )DR ,和15 1例 ( 15 1眼 )NDR病人进行术后连续 5d眼压测量和量化记录临床症状。结果 :高眼压出现在术后第 3天 ,DR组为1.8% ,NDR组为 4.6% ;术后第 5天两组间的眼压有统计学意义 (P <0 .0 5 ) ;两组病人的临床症状在术后第 3天达到最高峰 ,术后第 1天～第 5天头痛恶心及恶心呕吐症状的比率DR组均高于NDR组 ,具有统计学意义 (P <0 .0 0 1)。结论 :早期对糖尿病病人进行全面评估 ,早期实施护理干预可有效减轻术后症状 。
Objective: to analyze in contrast intraocular pressure changes and the relationship between time and severity of clinical symptoms developed in patients with diabetic retinopathy (DR) and non-diabetic retinopathy (NDR) underwent vitreous resection and filling with C 3F 8 gas, to provide a basis for carrying out nursing intervention correctly. Methods: a total of 55 cases of DR and 151 cases of NDR inpatients underwent vitreous resection and filling with C 3F 8 gas were measured intraocular pressure for 5 days continuously after the operation and all their clinical symptoms were recorded quantitatively. Results: in DR group, 1.8% of cases developed high intraocular pressure on the third postoperative day. In NDR group, 4.6% of cases developed high introcular pressure on the third day after operation. On the fifth postoperative day, in terms of intraocular pressure, there was still significant statistical difference between the two groups of patients (P<0.05). Clinical symptoms of the two group patients reached the peak on the third day after their operation. The ratio of patients with headache, nausea and vomiting from the first day to the fifth day after the operation in patients of DR group were higher than that in patients of NDR group. There was statistical significance between them(P<0.001). Conclusion: to carry out a whole evaluation and nursing intervention at the early stage in diabetic patients could abate their postoperative symptoms and help them to recover from the illness smoothly.
出处
《护理研究（中旬版）》
2003年第11期1339-1340,共2页
Chinese Nursing Researsh
关键词
视网膜病变
气体充填
眼压
护理
Retinopathy
Filling with gas
Ocular pressure
Nursing care
