泪道激光术联合通管植入治疗泪道阻塞患者的护理观察

Nursing Effect of Lacrimal Duct Laser Reconstruction After Recanalization Tube Implantation for Lacrimal Duct Obstruction Patients

目的探讨泪道激光成形术后再通管植入治疗泪道阻塞患者的护理疗效。方法收集我院门诊2017年1—7月收治的50例泪道阻塞患者,按照入院顺序将其分为两组各25例,对照组给予泪道激光成形术后再通管植入治疗术后冲洗一周,观察组在对照组基础上给予围手术期系统护理,随访6个月观察两组疗效。结果两组均成功随访,无失访病例,观察组随访总有效率96.0%(24/25)较对照组的68.0%(17/25)高,差异具有统计学意义(P<0.05);术后均出现少数局部肿痛肿胀、出血等轻微并发症,但两组并发症率相比较差异无统计学意义(P>0.05)。结论对行泪道激光成形术后再通管植入治疗的泪道阻塞患者给予相应的围手术期护理,有助于提高临床疗效。

Objective To explore the nursing effect of lacrimal duct laser reconstruction after recanalization tube implantation for patients with lacrimal duct obstruction. Methods 50 cases of lacrimal duct obstruction admitted in the outpatient department of our hospital from January to July 2017 were divided into two groups according to the order of admission. The control group was given the lacrimal duct laser reconstruction after the recanalization of the lacrimal duct for one week. The observation group was given the perioperative system nursing on the basis of the control group and followed up for 6 months to observe the curative efect of two groups. Results All the two groups were followed up successfully. The total effective rate of follow-up was 96.0% （24/25） in the observation group and was higher than the control group 68.0% （17/25）. The diference was statistically signifcant （P 〈 0.05）; There were a few mild complications such as swelling and bleeding of local swelling and pain after operation, but there was no signifcant diference in the rate of complication between the two groups （P 〉 0.05）. Conclusion The corresponding perioperative nursing care for the patients with lacrimal duct obstruction after lacrimal duct laser tube implantation is helpful to improve the clinical efect and promote the clinical application.