放松训练在急性闭角型青光眼患者术前的应用效果

Application effects of relaxation training in preoperative patients with acute angle-closure glaucoma

目的 研究放松训练对急性闭角型青光眼患者手术前心率、血压、眼压波动及手术需控制眼压稳定时间的影响.方法 选取2015年1月—2016年12月上海市普陀区中心医院中符合急性闭角型青光眼诊断标准的患者80例,按随机数字表法随机分为对照组和观察组,对照组给予青光眼常规护理指导,观察组在常规护理的同时予以放松训练,观察两组患者在入院当日及手术前心率、血压、眼压波动值、术前眼压控制时间.结果 观察组术前心率、血压、眼压波动值、术前眼压控制时间均优于对照组,差异有统计学意义（P〈0.01）.结论 放松训练可有效控制急性闭角型青光眼患者术前的眼压波动值,减少手术等待时间,进而延缓视野损害进展.

Objective To study the effects of relaxation training on blood pressure,heart rate, intraocular pressure fluctuation and time to control intraocular pressure before operation in patients with acute angle-closure glaucoma.Methods In this study,80 patients with acute angle-closure glaucoma,who were selected from January 2015 to December 2016 in Shanghai Putuo District Central Hospital,were randomly divided into control group and observation group. Patients of the control group was given routine care,while patients of the observation group was given both the routine nursing care and relaxation training. On the day of admission and before operation,heart rate,blood pressure,intraocular pressure fluctuation and preoperative control of intraocular pressure time of the two groups were measured.Results The heart rate,blood pressure, intraocular pressure fluctuation and preoperative control of intraocular pressure time of patients in the observation group were better than that in the control group （P〈0.01）.Conclusions The relaxation training can effectively keep the acute angle-closure glaucoma patients vital signs steady,effectively control patients intraocular pressure fluctuations before operation,reduce the number of time waiting for operation,and thus delay the progress of visual damage.