玻璃体切割加气体填充术后体位的护理效果

Comparison of nursing effects in different positions after vitrectomy and gas tamponade

目的孔源性视网膜脱离患者行玻璃体切割加气体填充术后的护理一般采用面朝下体位，文中探讨灵活体位护理与传统体位护理的效果，以便提升患者舒适度，帮助患者康复。方法选择南京军区南京总医院眼科2015年1～12月行玻璃体切割加长效气体填充术的孔源性视网膜脱离患者120例，其中60例术后采取面朝下体位护理，60例采取灵活体位护理。观察两组患者术后视网膜解剖学复位率。结果面朝下体位组与灵活体位组视网膜解剖学复位率分别为88．33％和100％；患者体位满意度比较，灵活体位组患者满意度（100％）高于传统体位患者满意度（41．67％），差异均有统计学意义（P〈0．01）。结论灵活体位护理对于孔源性视网膜脱离患者行玻璃体切割加长效气体填充术是安全有效的，患者术后可采用更为舒适的灵活护理体位提升舒适度。

Objective Face-down positioning after vitrectomy and gas tamponade is still the standard position for patients with rhegmatogenous retinal detachment. The study was to compare the nursing effects of face-down position and flexible position after vitrecto- my for the repair of rhegmatogenous retinal detachment. Methods We investigated 120 cases of patients with rhegmatogenous retinal detachment in this study. All patients received vitrectomy with long-acting gas for tamponade, 60 patients in face-down position and 60 in the flexible position. Patients were followed up for 6 months. Observation was made on the rates of anatomical retinal reattachment and postoperative complications between the groups. Results The rates of anatomical retinal reattachment after surgery were 88.33% in the face-down position group and 100% in the flexible position group respectively. As to the satisfaction of position, the flexible position group was 100% , which was much higher than 41.67% in face-down position group（P 〈 0.01 ）. Conclusion Flexible position nurs- ing after vitrectomy and gas tamponade for rhegmatogenous retinal detachment repair is safe and effective. Flexible position can replace face-down position for the comfort of patients with rhegmatogenous retinal detachment after vitrectomy with gas tamponade.