泪道探通术治疗婴幼儿泪囊炎的疗效与护理论文.docVIP

泪道探通术治疗婴幼儿泪囊炎的疗效与护理论文 　　泪道探通术治疗婴幼儿泪囊炎的疗效与护理 　　唐红 吴凯林 陈振文 　　(广西柳州市妇幼保健院眼科 广西柳州 5 4 5 0 01) 　　【摘要】目的：探讨泪道探通术治疗婴幼儿泪囊炎的疗效与护理。方法：855例(1170眼)婴幼儿泪囊炎患儿按照月龄分为3组，均行泪道冲洗(必要时增加泪道探通术)治疗，讨论各年龄组成功率和该治疗护理要点。结果708例患儿经一次治疗能达到治愈效果，141例需行二次探通治疗，6例治疗无效。经分析发现，月龄越小，一次治疗成功率越高。泪道探通一次性成功治愈A组316例(100%);B组295例1次治愈236例(800h)，2次治愈59例(20%);C组244例1次治愈156例(64%)，2次治愈82例(34%)，疗效较差6例(2%)。 　　结论：早期行泪道探通治疗婴幼儿泪囊炎是安全有效，小月龄患儿治疗效果更佳。 　　【关键词】婴幼儿泪囊炎;泪道探通;护理 　　【中图分类号】R473. 77 【文献标识码]B 　　【文章编号】1007-8231( 2016) 19-0236-03 　　The Effect Nursing of Probing of Lacrimal Passage for treatment on Infant s dacryocystitisTang Hong Wu Kaitin, Chen Zhenwen.Ophthalmologyof GuangXi Liuzhou Maternityand Children#39;s Health Care Hospital545001IAbstract] Objective To investigate the effect and nursing of probing oflacrimal passage for treatment on infant#39;s dacryocystitis.Method 855 cases(1170 eyes) ofinfants with daayocystitis to be divided t0 4 groups according to month-age, apply syringing oflacrimalpassage to all groups, and probing oflacrimal passage will be applied when necessary. Discuss the success rate and key points of nursingfor each group of month-age. Results 708 cases were cured after one time treatment, 141 cases were cured with second time probing oflacrimal passage, 6 cases failed. Analysis shows that the success rate is higher in younger month-age group. The one Ome success rate ofprobing oflacrimal passage in each group are: A group 316 cases, 316 0ne time success (100%); B group 295 cases, 236 0ne time success(80%) and 59 second time success (20%); C group 244 cases,156 0ne time success (64%) and 82 second time success (34%) however 6failed (2%). Conclusion It#39;s safe and effective to apply probing oflacrimal passage for treatment on infant s dacryocystitis, and the effect willbe better for younger infant 　　[Keywords] Infant#39;s dacryocystitis;Probing oflacrimalpassage;Nursing 　　婴幼儿泪囊炎是小儿眼科的一种常见眼病，发病率可达5～6%“1，其病因是鼻泪管下端的胚胎残膜未完全退化，阻塞鼻泪管下端导致的泪液和细菌滞留在泪囊内，引起续发性感染。 　　我科2010年1月～20