高度近视人工晶体移植术后影响视力恢复的危险因素分析及干预措施

Analysis of the risk factors that affected vision recovery after high myopia intraocular lens transplantation and its intervention measures

目的探讨高度近视人工晶体移植术后影响视力恢复的危险因素,据此实施针对性护理措施。方法选取2017年10月至2019年9月我院91例(109眼)高度近视行人工晶体移植术患者为研究对象,术后随访3个月,将术后最佳矫正视力分为<0.3D和≥0.3D两个等级分别设为视力损伤组和视力正常组,收集患者临床资料纳入多因素logistic回归模型中分析。结果术后3个月最佳矫正视力:<0.3D 46眼(42.20%),≥0.3D 63眼(57.80%)。多因素logistic回归分析显示,角膜散光度≥1.3D、眼轴长度≥30 mm、合并糖尿病、术前眼压升高是影响术后视力恢复的独立危险因素(P<0.05)。结论高度近视人工晶体移植术后影响视力恢复的因素较多,护理人员应采取针对性护理措施,保证手术的安全性和有效性。

Objective To explore the risk factors that affected vision recovery after high myopia intraocular lens transplantation,hereby implement targeted nursing measures.Methods We selected 91 cases(109 eyes)of patients with high myopia undergoing intraocular lens transplantation in our hospital from October 2017 to September 2019 as the study objects.The postoperative follow-up was observed for 3 months,and the best corrected visual acuity after operation was divided into two grades with<0.3D and≥0.3D,which were set as the visual impairment group and the normal vision group respectively,and the clinical data of the patients were collected and included into the multivariate logistic regression model.Results The best corrected visual acuity on 3 months after operation was<0.3D 46 eyes(42.20%),and≥0.3D 63 eyes(57.80%).Multivariate logistic regression analysis showed that the corneal astigmatism≥1.3D,axial length≥30 mm,coalescent diabetes mellitus,and increased intraocular pressure before operation were the independent risk factors that affected postoperative vision recovery(P<0.05).Conclusion There were many factors affecting vision recovery after high myopia intraocular lens transplantation.Nursing staff should take targeted nursing measures to ensure the safety and effectiveness of the operation.