外伤性眼内炎的临床治疗与围手术期护理

Clinical treatment of traumatic endophthalmitis and nursing during perioperative period

目的分析37例外伤性眼内炎的临床治疗与护理配合,以取得最佳疗效。方法回顾性分析2007年5月-2012年8月就诊的外伤性眼内炎患者37例,对其治疗方法及护理进行总结分析。结果 37例患者眼内炎症的临床症状得到控制,术后视力提高者23例占62.16%,视力不变者7例占18.92%,眼球萎缩者3例占8.11%,视力检查不配合者4例占10.81%,患者术后视力与术前相比,差异有统计学意义(P<0.05)。结论玻璃体切割术治疗外伤性眼内炎可取得良好治疗效果,配合术前术后个性化护理,可明显提高手术的疗效及预后。

OBJECTIVE To analyze the clinical treatment and nursing of 37 cases of traumatic endophthalmitis and achieve the best efficacy. METHODS A retrospective analysis of 37 cases of patients with traumatic endophthalmitis enrolled from May 2007 to Aug 2012 was performed, and the treatment methods and nursing were summarized and analyzed. RESULTS Totally 37 patients with inflammation clinical symptoms were controlled. There were 23 patients （62.16%） whose visual acuity improved after the operation, 7 patients （18.92%） whose visual acuity was unchanged, 3 patients of atrophy of eyeball （8.11 %）, and 4 cases of uncooperative examination of visual acuity （10.81%）, there was significant difference between the preoperative visual acuity and the postoperative acurity （P〉0.05）. CONCLUSION The patients with traumatic intraocular inflammation can achieve a good effect through vitrectomy, combined with the preoperative and postoperative personalized nursing, it could significantly enhance the efficacy and prognosis.