绝对期青光眼行睫状体光凝的护理.docVIP

精品论文 参考文献 绝对期青光眼行睫状体光凝的护理 张丽平 岳蕃 （广州军区武汉总医院全军眼科中心 湖北武汉 430060） 【摘要】目的 探讨利用半导体激光经巩膜睫状体光凝治疗绝对期青光眼的手术期护理。方法 对158例163眼进行半导体激光的经巩膜睫状体光凝，术前进行心理护理、充分术前准备；术中采取卧位、积极配合手术、随时调节激光设备参数，尽量缩短手术时间，减轻患者痛苦；术后注意休息，减少活动，对前房反应、眼部疼痛、高眼压等对症支持处理。结果 163眼中146眼（89.6%）手术后眼压控制稳定，避免了再次手术甚至摘除眼球的痛苦，除17例因眼压反复升高，患者要求行眼球摘除，余无严重并发症出现。结论 半导体激光经巩膜睫状体光凝治疗是一种简单、安全、有效的治疗绝对期青光眼的方法，合理的术前、术中和术后护理，可以极大减轻患者的痛苦，提高激光手术的成功率。 【关键词】 绝对期青光眼 睫状体光凝 半导体激光 护理 【中图分类号】R473.77 【文献标识码】B 【文章编号】2095-1752（2013）21-0299-02 Absolute phase glaucoma line ciliary body photocoagulation of nursing ZhangLiPing, YueFan (wuhan general hospital of guangzhou military command all eye center, hubei wuhan 430060) 【Abstract】 objective Discuss the potential complications of using semiconductor laser photocoagulation treatment period of absolute glaucoma surgery nursing period。methods Of 158 patients with 163 eyes to the potential complications of the semiconductor laser photocoagulation, On preoperative psychological nursing、Full preoperative preparation；Intraoperative take recumbent position 、Actively cooperate with the operation 、To adjust the laser equipment parameters ，Try to shorten the operation time, Relieve the patient pain; Postoperative pay attention to rest, Reduce activities, To anterior chamber reaction 、Eye pain、High intraocular pressure and suit support treatment. The results 163 eyes in 146 eyes (89.6%) surgery intraocular pressure control stability, To avoid the reoperation even remove eye pain, In addition to 17 cases of intraocular pressure rise again and again, Patients require evisceration line, more than no serious complications。conclusion The potential complications of the semiconductor laser photocoagulation therapy is a simple, safe and effective in the treatment of absolute glaucoma phase method, Reasonable preoperative, intraoperative and postoperative care, can greatly reduce the pain of patients and improve the success rate of laser surgery. 【Ke