玻璃体切割术联合眼内填充术治疗视网膜脱离围手术期的护理.docVIP

玻璃体切割术联合眼内填充术治疗视网膜脱离围手术期的护理 　　doi：10.3969/j.issn.1007-614x.2014.3.70 　　摘 要 目的：研究视网膜脱离患者采用玻璃体切割术联合眼内填充术治疗的围手术期护理措施和护理效果，为其临床研究和应用提供理论依据。方法：收治视网膜脱离并行复位手术治疗患者46例，根据患者治疗期间给予的不同护理方案，将其分为两组。对照组23例给予一般临床护理干预，观察组23例在常规护理的基础上加强优质护理和整体护理。结果：术后对所有患者进行0.5～1年的随访，观察组中20例一次性治愈；3例患者复位不良，其中2例经二次手术获得治愈，1例患者因拒绝二次手术放弃手术治疗。对照组中16例一次性治疗成功；7例未成功复位，其中4例再次手术治疗成功，3例拒绝再次手术。经临床观察比较，观察组的护理满意度87.0%，对照组69.6%，组间比较差异具有统计学意义（P0.05）。结论：对视网膜脱离患者采用玻璃体切割术联合眼内填充术治疗效果良好，治疗期间加强临床优质护理能够有效减少并发症，提高治疗效果和护理满意度。 　　关键词 玻璃体切割术 眼内填充术 视网膜脱离 围手术期 护理干预 　　Nursing in perioperative period of retinal detachment treated with vitrectomy combined with intraocular tamponade 　　Cai Lingjuan 　　Department of Ophthalmology Wenshan Peoples Hospital of Yunnan Province，663000 　　Abstract Objective：To explore the measures and effect of Nursing in perioperative period of retinal detachment treated with vitrectomy combined with intraocular tamponade.To provide theoretical basis for clinical research and application.Methods：We selected 46 cases of retinal detachment treated with reduction in 2011 August to 2013 August.These patients were divided into two groups according to different nursing program during treatment.23 cases of control group were treated by routine clinical care.23 cases of observation group strengthened high quality nursing and holistic nursing on the basis of routine nursing.Results：All the patients were followed up for 0.5 to 1 year.20 cases in the observation group were cured in 1 time and 3 patients had poor reduction，including 2 cases cured after second operation and 1 patient refused to second operation.16 cases in the control group were cured in 1 time and 7 patients had poor reduction，including 4 cases cured after second operation and 3 patient refused to second operation.Nursing satisfaction of observation group was 87%，control group was 69.6%.There were significant differences between the two groups（P0.05）.Conclusion：The effect of Nursing in perioperative period of retinal detachment treated with vit