26例抗青光眼术后巨大薄壁囊状滤过泡患者行结膜瓣加固术的护理

Nursing experience of 26 glaucoma patients with huge thin-wall cystic filtering bleb conjunctival flap reinforcement after operation

目的 探讨巨大薄壁囊状滤过泡结膜瓣加固术患者的护理方法.方法 对26例抗青光眼术后巨大薄壁囊状滤过泡患者实行结膜瓣加固术,术前对患者进行有针对性的心理护理及术前准备;术后及时做好眼压升高、浅前房等并发症的护理;做好健康宣教,提高患者对薄壁滤过泡的自我保护意识.结果 4只眼黄斑水肿消退,14只眼滤过泡渗漏消失,1只眼滤过泡感染控制.结论 结膜瓣加固术是治疗抗青光眼术后巨大薄壁囊状滤过泡的有效方法,加强患者术前、术后的心理护理,术后密切观察并处理并发症,加强患者的自我保护意识可提高手术成功率.

Objective To explore the nursing method of glaucoma patients with huge thin-wall cystic filtering bleb conjunctival flap reinforcement after operation. Methods twenty-six glaucoma surgery patients with thin-wall cystic filtering bleb conjunctival flap reinforcement. Preoperative nursing mainly targeted psychological nursing and preoperative preparation, Postoperative nursing mainly focused on timely elevating iop and preventing shallow anterior complications, improving patients＇ self-protected consciousness to thin filtering bleb ego. Results Four eye macular edema dismished, 14 eye filtering bleb leaking disappeared, 1 eye filtering bleb infection controlled. Conclusions Conjunctival flap reinforcement treatment with glaucoma surgery is thinwalled huge cystic filtering bleb. Strengthening the effective method of preoperative and postoperative psychological nursing, postoperative complications, close observation, and self-protection can improve the success rate of operation.