急性闭角型青光眼手术患者的护理研究

Research of nursing for acute angle-closure glaucoma patients

目的探讨急性闭角型青光眼手术前后的临床护理方法及效果。方法对48例(76只眼)急性闭角型青光眼患者的临床资料进行回顾性分析,观察其护理方式、效果及术后并发症情况。结果治疗后,有效降低眼压患者45例,其余3例均行前房穿刺降低眼压,眼压稳定后均行小梁切除术,术后出现浅前房5例,恶性青光眼1例,治疗后均恢复。患者手术后眼压为(15.0±2.4)mm Hg(1 mm Hg=0.133 kPa),前房深度为(3.12±0.25)mm,均优于手术前的(56.0±6.9)mm Hg、(1.89±0.33)mm,差异有统计学意义(P<0.05)。结论对于急性闭角型青光眼患者在及时有效抢救治疗的同时,做好患者的心理护理及术后护理工作对青光眼的治疗和预后有很大的帮助。

Objective To investigate method and effect by clinical nursing for acute angle-closure glaucoma patients before and after operation. Methods A retrospective analysis was made on clinical data of 48 patients（76 eyes）with acute angle-closure glaucoma. Observation was made on nursing method, effect, and postoperative complications. Results After treatment, there were 45 cases with effectively reduced intraocular pressure, and the other 3 cases all received anterior chamber puncture for intraocular pressure reducing, followed by trabeculectomy. There were 5 cases with postoperative shallow anterior chamber and 1 case with malignant glaucoma, and they were all recovered after treatment. Patients had postoperative intraocular pressure as（15.0±2.4）mm Hg（1 mm Hg=0.133 k Pa）, and anterior chamber depth as（3.12±0.25）mm, which were all better than（56.0±6.9）mm Hg and（1.89±0.33）mm before operation, and the difference had statistical significance（P〈0.05）. Conclusion Implement of psychological nursing and postoperative nursing in addition to timely rescue treatment is remarkably beneficial for treating acute angle-closure glaucoma patients and for their prognosis.