视网膜血管阻塞介入治疗中的护理

The Nursing for Retinal Vascular Occlusion with Intervention Treatment

目的:探讨护理工作在视网膜血管阻塞介入治疗中的价值。方法:超选择性眼动脉溶栓治疗视网膜血管阻塞疾病,是介入放射学在眼科领域实际应用的新方法。结合7例病人的护理经验,总结了术前、术中、术后及出院指导的护理要点及并发症的预防、处理、护理措施。结果:提出术前应认真做好心理护理和基础护理;术中积极配合医生治疗工作,保障手术顺利进行;术后要严密观察血压、中枢神经和周围神经的运动、感觉的变化及视力的改变,同时要重视对穿刺部位血肿、出血等并发症的观察;出院后继续控制血糖、血压,仍需小剂量服用潘生丁、阿司匹林,以抗血栓,减少周围动脉内阻塞性血栓的形成。结论:通过对7例视网膜血管阻塞性疾病患者整体护理措施的实施,体现出整体护理在眼科护理中发挥着积极的作用。

Objective ： The study focuses on the value of nursing in the intervention treatment of retinal vascular occlusion. Method： The treatment of retinal vascular occlusion by super selective ophthalmic artery thrombolysis is the application of the interventional radiology in the ophthalmology. Some nursing experience was drawn from 7 cases before, in and after surgery. Even out-of-hospital attendance instructions were given as regard to the prevention, processing and nursing of complications. Result： Psychological and basic physical nursing before surgery should be well done; cooperation with the doctors in the surgery ensures the success of the operation ;close attention should be paid to the blood pressure, the movement of the central and peripheral nerve system, sensory changes and visual changes; more attention should also be paid to the hematoma and bleeding in the puncture and other complications ; blood sugar and blood pressure should be kept normal by taking small dose of persantine and aspirin to counter thrombotic and reduce peripheral arterial thrombosis. Conclusion： The nursing measures for the 7 cases with retinal vascular occlusion have shown that the monolithic nursing plays a positive role in ophthalmonogy nursing.