上睑下垂矫正术后并发角膜炎的原因分析和护理对策

Factors Contributing to Occurrence of Postoperative Keratitis in Patients with Ptosis and the Nursing Strategies

目的探究上睑下垂矫正术后并发角膜炎的原因,并提出相应的护理对策。方法对384例接受上睑下垂矫正术的患者术后角膜炎发生率和原因进行回顾性分析,针对引起患者角膜炎的不同原因采取相应的护理措施,对护理前后患者角膜炎症状和体征的严重程度进行统计比较。结果上睑下垂矫正术后并发角膜炎的原因包括术后角膜暴露、角膜损伤、个人卫生和生活方式、环境因素等;不同矫正术引起术后角膜炎的发生率不同;积极有效的护理措施可以降低严重性角膜炎比例(P<0.01)。结论有效的护理干预措施能减轻上睑下垂矫正术后角膜炎并发症的严重程度,从而提高手术疗效。

Objective To investigate the factors associated with the occurrence of postoperative keratitis in patients undergoing surgical correction of ptosis and discuss the nursing strategies. Methods A retrospective analysis was conducted among 384 patients undergoing surgical correction of ptosis to assess the incidence of postoperative keratitis and identify its related factors. The corresponding nursing strategies were implemented for the factors identified to be associated with postoperative keratitis, and the severity of the signs and symptoms of keratitis was statistically compared before and after the implementation of the nursing interventions. Results The factors responsible for postoperative keratitis in these patients included postoperative cornea exposure and injuries, personal hygiene, life style, and environmental factors. The incidence of postoperative keratitis showed no significant variation following different surgical procedures for ptosis, and effective nursing measures could significantly decrease the incidence of severe postoperative keratitis（ P 〈0.01） and improve the clinical outcome of the patients. Conclusion Effective nursing measures can help reduce the severity of postoperative keratitis following surgical correction of ptosis and therefore improve the surgical outcome of the patients.