玻璃体切割硅油填充术后眼压变化的分析及护理

Analysis of changes of intraocular pressure and nursing for vitrectomy with silicone oil tamponade technique

目的探讨玻璃体切割联合硅油填充术后患者眼压变化及护理措施。方法对52例（52眼）玻璃体切割硅油填塞术后患者的临床资料进行回顾性分析，总结护理措施。结果24例（46．2％）患者出现高眼压，其中19例发生在术后2周内（79．2％）。高眼压组与眼压正常组性别、年龄，病程、屈光度及硅油填充量比较早发现，早处理差异均无统计学意义（P〉0．05）。结论玻璃体切割联合硅油填充术后早期高眼压临床较常见，应加强患者的病情观察，防止术后并发症。

Objective To explore the changes of intraocular pressure and nursing for vitrectomy with silicone oil tamponade technique. Methods Clinical data of 52 patients （52 eyes） with silicone oil tamponade after vitrectomy were retrospectively analyzed and made a summary of nursing care. Results There were 24 patients （46. 2% ） with high intraocular pressure, and there were 19 patients high intraocular pressure occurrence within 2 weeks. There were no significant differences in sex, age, duration, the amount of refraction and silicone oil tamponade between high and normal intraocular pressure groups （P 〉 0. 05 ） . Conclusion The early high intraocular pressure is common after vitrectomy with silicone oil tamponade technique. Patient＇s condition observation should be strengthened and prevent from post - operation complications.