目的应用荧光素眼底血管造影(FFA)观察降眼压治疗对前部缺血性视神病变(AION)眼底血管充盈状态的影响。方法收集2008年5月至2011年10间住院治疗的AION室68例(68只眼),随机分为非眼压干预组(对照组)30例,眼压干预组38例,对眼压干预组38...目的应用荧光素眼底血管造影(FFA)观察降眼压治疗对前部缺血性视神病变(AION)眼底血管充盈状态的影响。方法收集2008年5月至2011年10间住院治疗的AION室68例(68只眼),随机分为非眼压干预组(对照组)30例,眼压干预组38例,对眼压干预组38例在发病时的眼压基础上用药物降低眼压≥8 mm Hg或降低眼压≥30%,其它进行常规治疗,观察FFA血管充盈指标的变化,对两组治疗效果进行分析比较。结果非眼压干预组(对照组)平均臂-视网膜循环时间为(16.9±0.46)s,视盘荧光染料渗漏显现时间为(22.3±0.37)s;眼压干预组平均臂-视网膜循环时间为(13.4±0.51)s,视盘荧光染料渗漏显现时间为(16.3±0.32)s。经统计学处理,双组结果差异有显著性(P<0.05)。结论降眼压治疗对AION的眼底血管充盈状态有明显的改善作用。展开更多
Apply the visual management in the teaching of the nursing education, and strengthen the cultivation of the spirit of Nightingale of the nursing students. According to the characteristics of the method of the visual m...Apply the visual management in the teaching of the nursing education, and strengthen the cultivation of the spirit of Nightingale of the nursing students. According to the characteristics of the method of the visual management, using the visual and iconic teaching methods, construct the scene and the atmosphere of the rich cultural atmosphere, to stimulate the students＇ human emotional experience. Through several approaches, carry forward the spirit of Nightingale education of the nursing students, and make the students establish the lofty values of the nursing occupation, to provide the nursing care of high quality for the patients.展开更多
Purpose： Traumatic optic neuropathy （TON） is a serious complication of head trauma with the incidence rate of 0.5%-5%. The aim of this study was to investigate the therapeutic efficacy of endoscopic decompression o...Purpose： Traumatic optic neuropathy （TON） is a serious complication of head trauma with the incidence rate of 0.5%-5%. The aim of this study was to investigate the therapeutic efficacy of endoscopic decompression of the optic canal for optic nerve injuries. Methods： In this study, 11 patients treated in our hospital from January 2009 to January 2015 with the visual loss resulting from TON were retrospectively reviewed for preoperative vision, visual evoked potential （VEP） scan, surgical approach, postoperative visual acuity, complications, and follow-up results. Results： All these patients received endoscopic decompression of the optic canal. At the 3-month follow- up, the visual acuity improvement rate of the 11 patients was 45.5%. The vision acuity of 2 cases improved from hand movement to 0.08 and 0.3 after operation. Another patient＇s vision acuity returned to 0.05 compared to light sensation preoperatively. Two cases had finger counting before surgery but they had a vision acuity of 0.4 and light sensation respectively after surgery. However, the other 6 cases＇ vision did not improve after surgery. Conclusion： Endoscopic decompression of the optic canal is an effective way to cure TON. VEP could be used as an important reference for preoperative and prognosis evaluation. Operative time after trauma is only a relative condition that may affect the therapeutic effect of optic canal decompression. Poor results of this procedure may be related to the severity of the optic nerve injury.展开更多
文摘目的应用荧光素眼底血管造影(FFA)观察降眼压治疗对前部缺血性视神病变(AION)眼底血管充盈状态的影响。方法收集2008年5月至2011年10间住院治疗的AION室68例(68只眼),随机分为非眼压干预组(对照组)30例,眼压干预组38例,对眼压干预组38例在发病时的眼压基础上用药物降低眼压≥8 mm Hg或降低眼压≥30%,其它进行常规治疗,观察FFA血管充盈指标的变化,对两组治疗效果进行分析比较。结果非眼压干预组(对照组)平均臂-视网膜循环时间为(16.9±0.46)s,视盘荧光染料渗漏显现时间为(22.3±0.37)s;眼压干预组平均臂-视网膜循环时间为(13.4±0.51)s,视盘荧光染料渗漏显现时间为(16.3±0.32)s。经统计学处理,双组结果差异有显著性(P<0.05)。结论降眼压治疗对AION的眼底血管充盈状态有明显的改善作用。
文摘Apply the visual management in the teaching of the nursing education, and strengthen the cultivation of the spirit of Nightingale of the nursing students. According to the characteristics of the method of the visual management, using the visual and iconic teaching methods, construct the scene and the atmosphere of the rich cultural atmosphere, to stimulate the students＇ human emotional experience. Through several approaches, carry forward the spirit of Nightingale education of the nursing students, and make the students establish the lofty values of the nursing occupation, to provide the nursing care of high quality for the patients.
文摘Purpose： Traumatic optic neuropathy （TON） is a serious complication of head trauma with the incidence rate of 0.5%-5%. The aim of this study was to investigate the therapeutic efficacy of endoscopic decompression of the optic canal for optic nerve injuries. Methods： In this study, 11 patients treated in our hospital from January 2009 to January 2015 with the visual loss resulting from TON were retrospectively reviewed for preoperative vision, visual evoked potential （VEP） scan, surgical approach, postoperative visual acuity, complications, and follow-up results. Results： All these patients received endoscopic decompression of the optic canal. At the 3-month follow- up, the visual acuity improvement rate of the 11 patients was 45.5%. The vision acuity of 2 cases improved from hand movement to 0.08 and 0.3 after operation. Another patient＇s vision acuity returned to 0.05 compared to light sensation preoperatively. Two cases had finger counting before surgery but they had a vision acuity of 0.4 and light sensation respectively after surgery. However, the other 6 cases＇ vision did not improve after surgery. Conclusion： Endoscopic decompression of the optic canal is an effective way to cure TON. VEP could be used as an important reference for preoperative and prognosis evaluation. Operative time after trauma is only a relative condition that may affect the therapeutic effect of optic canal decompression. Poor results of this procedure may be related to the severity of the optic nerve injury.
