小梁切除术应用生物羊膜联合丝裂霉素C的围手术期护理.pdfVIP

现代临床护理(Modem Clinícal Nursíng)2012. 1I (3) 21 小梁切除术应用生物芋膜联合丝裂霉素C 的围手术期护理* 伍美容，高银凤，张珍饲 (广东省惠东县人民医院五宫科，广东惠州，5163∞) [摘要] 目的探讨小梁切除术应用生物羊膜联合丝裂霉素C 的围手术期护理体会。方法 回顾性分析本院2∞8 年 11 月 -2011 年6 月收梢的 27 例(27 眼)原发性青光眼患者的I临床资料，并总结小梁切除术中应用生物羊膜联合丝裂霉素C 的国术期护理要点。结果 患者 术程顺利，术后榄力改善4 眼(14.8%) ，视力降低 2 眼(7.4%) ，视力不变 21 跟(77.8%) ;并发症情况:浅前房 4 眼，低跟压 3 眼，均经对症治 疗及护理后痊愈出院;术后 6 - 12 个月随访，患者的中位Bi压为 12.3 mmHg，较术前明显降低。结论霄光眼小梁切除术中联合应用生物 羊膜和丝裂霉素C 可以减少疤痕的形成.提高雄过功能;而术后针对性的护理能及时发现相处理并发症，提高手术疗效。 [关键词1 原发性青光眼:小梁切除术;生物羊膜:丝裂霉素 C; 围手术期护理 [中圈分类号1 R473.6 [文献标识码1 B [文章编号1 1671-8283(2012)03-阳21-{)3 [DOI] 1O.3969/j.i酷几1671-8283.2012.03脱 Perioperative care of patients undergoing trabecuJectomy treated by biological amniotic membrane transplantation combined with mitomycin C Wu Meiro吨， Gao Yinfe鸣， Zhang Zenxian// Modem Clinical Nursing , -2012 , 11 (3) :21 [Abstract 1 Obj缸由e To.ummarize 血e 四perience in 严rioperatively nursing patients unde唱。i吨固始culectomy tre由d by biological amniotic membrane tr田ISpl回国l0n c扭曲ined with 皿tomycin C. Metbods The clinical 也担。，f 27 palien幅 (27 町田)明白 prilll31Y glaucoma treated wi由 tmb四如to町 in 0町 hospital from November 2∞8 to June 2011 were 皿回!yzed 回缸回P自由ely 10 .ummarize 由e perioperative 明re points of biological amniotic membrane transp!antation combined with mitomycin C. R帽ults All出e pstients lived through the operation 归咄咄翩刷出峙， 阳出 vi.ual act且ity improved in 4 町回(14.8% ), growi鸣萨XlJeI ín 2 町回 (7.4%) and unchanged in 21 ey.,. (77.8%). The cornp!ications included shallow anlerior chambe霄 in 4 句es and low intraocular pressure in 3 句回 Wì出由e complìcations rnanaged with symptomatic treatrnent 皿d ßursÎ吨， 由e 归tients got recovered and discharged. p，回toperative 6 to 12 month. follow-up .howed the avera喜e m圆。c吐ar