On diabetic patients than phacoemulsification plus intraocular lens implantation surgery nursing.docVIP

 PAGE \* MERGEFORMAT 6 On diabetic patients than phacoemulsification plus intraocular lens implantation surgery nursing Diabetic patients a higher incidence of cataracts, and drug treatment are not satisfied, mainly by surgery. However, surgery will make blood sugar rise 20mmg% or so, major surgery can make blood sugar rise 60-80mmg% [1], so in the past the diabetic cataract surgery has been considered as contraindications. With the micro-surgery has matured and the accumulation of clinical experience, diabetes, cataract surgery treatment in recent years more and more, due to higher risk of bleeding and postoperative infection, control of blood glucose and significant relationship between whether the operation succeeded, which of care also made the corresponding request. now I’m in 5 years, 76 patients were treated before and after surgery in patients with diabetic cataract Nursing summarized as follows: 1 Clinical data 76 patients (82 eyes) with diabetic patients, aged 45 -80 years, mean 62.5 years, male 36, female 40 cases, previous history of diabetes, fasting plasma glucose check admission 5.2-9.3mmol / L, urine sugar (+ - (+++), 25 cases of preoperative visual acuity 0.01-0.1 0.1-0.3,18 cases, the number refers to the 15 cases, manual in 10 cases, 8 cases with only light perception. 2 Preoperative Care 2.1 1 week before surgery to do ECG, blood sugar, eye color Doppler ultrasound, crystal measurement, liver function, renal function and other tests, to prevent a cold, cough, constipation, blood sugar must be controlled at 8.0mmol / L below, blood pressure control in hypertensive patients 19.95/11.97kPa. preoperative antibiotic eye drops given 3 days, 1 day before surgery routine flushing conjunctival, lacrimal duct, the United States and more preoperative eye drops to dilate Li-P, 1 point every 15 minutes, until the mydriasis Great so far. 30 minutes before surgery to 0.5 IM Etamsylate oral stability 2.5mg. 2.2 Diabetes is a chr