眼科术后俯卧位患者非手术眼眼压升高的临床分析及护理对策

Clinical Analysis and Nursing Countermeasures of Elevated Intraocular Pressure of Non-surgical Eye of Patients in Prone Position after Operation

目的探讨眼科术后俯卧位患者非手术眼眼压升高的病因,并总结临床护理对策。方法选取我院眼科自2013年3月至2014年12月接收的患者100例,根据眼压、前房角情况、前房深度、屈光情况、眼轴直径、角膜直径等标准,将患者分成对照组和观察组,连续7 d观察并记录患者非手术眼眼压,分析高压眼的发生率。结果手术前,两组患者的非手术眼眼压值之间的差异并无统计学意义(P>0.05),术后1 w之内的数据显示,观察组患者非手术眼眼压值明显高于对照组,且具有统计学意义(P<0.01);观察组患者非手术眼眼高压的发生率明显高于对照组,且具有统计学意义(P<0.05)。结论玻璃体视网膜术后取俯卧位患者,容易患高压眼,因此术后早期观察及临床护理对于预防眼压升高具有重要意义。

Objective To explore the cause for elevated intraocular pressure （IOP） of non - surgical eye of patients in prone po- sition after operation, and summarize the clinical nursing countermeasures. Methods One hundred cases of patients, admitted in Ophthalmology Department of our hospital from March 2013 to December 2014, were divided into control group and observation group, according to such standards as the IOP, anterior chamber angle, anterior chamber depth, refractive conditions, eye axial diameter and corneal diameter. By observing both groups continually for 7 days, we recorded the lOP of the non - surgical eyes, and analyzed the in- cidence of high IOP. Results Before the operation, the differences in IOP of non - surgical eye of the two groups were not statistically significant （ P 〉 0. 05 ）. Data within a week after operation showed that the IOP of non - surgical eye of the observation group was sig- nificantly higher than that of the control group, with statistical significant difference （P 〈 0. 01 ）. The incidence rate of high IOP of non - surgical eyes of the observation group was significantly higher than that of the control group, with statistical significant difference （ P 〈 0. 05 ）. Conclusion Patients with vitreous retinal are apt to have high IOP if in prone position after operation. So the early postop- erative observation and clinical nursing are of great significance in preventing elevated intraocular pressure.