外伤性晶状体脱位继发青光眼的诊治及护理.docVIP

外伤性晶状体脱位继发青光眼的诊治及护理 文平刘利 (四川医科大学第一附属医院眼科lt;原泸州医学院附属医院gt;四川泸 州 646000) 【摘要】目的：探讨外伤性晶状体脱位继发青光眼的诊治及临床护理疗效。 方法：选择2013年1月到2015年1月入住我院的50例外伤性晶状体脱位继发 青光眼患者，回顾行分析患者的临床资料，总结患者的治疗方式以及临床护理方 法，统计患者的临床治疗效果与临床护理效果。结果：50例外伤性晶状体脱位 继发青光眼患者主要的治疗方法为晶体超乳手术+玻璃体切除术、口服降压药物、 消炎药以及糖皮质激素等，主要采用基础护理、心理护理、病房环境护理、感染 预防、饮食护理等综合护理，接受治疗与护理后总有效率达到88%。结论：对于 外伤性晶状体脱位继发青光眼患者采用手术与药物相结合的治疗方法以及综合 护理方式能够有效的提高患者视力降低眼压，治疗外伤性晶状体脱位继发青光眼， 在临床上推广使用。 【关键词】外伤性；晶状体脱位；继发青光眼 【中图分类号】R775 【文献标识码】A 【文章编号】1007-8231 (2015) 23-0011-02 [Abstract] Objective To study the diagnosis and treatment of secondary glaucoma after traumatic lens dislocation and clinical nursing curative effect. Methods From January 2013 to January 2015 in our hospital in 50 patients with secondary glaucoma after traumatic lens dislocation, line retrospective analysis the clinical data of patients, the treatment of patients with summary way and clinical nursing method, statistics of the patients clinical treatment effect and clinical nursing effect. Results 50 patients with secondary glaucoma after traumatic lens dislocation were the main treatment method for crystal phaco + vitrectomy surgery, oral antihypertensive drugs, anti-inflammatory drugs and glucocorticoids, mainly adopts the basic nursing, psychological nursing, nursing ward environment, and comprehensive infection prevention, diet nursing care, treatment and nursing after the total effective rate is 88%. Conclusion For secondary glaucoma after traumatic lens dislocation were treated by surgery combined with drug treatment and comprehensive care can effectively improve the patients1 vision reduce intraocular pressure, treatment of secondary glaucoma after traumatic lens dislocation, used widely in clinic. 【Key words】 Traumatic; The lens dislocation; Secondary glaucoma 外伤性晶状体脱位继发青光眼是眼部外伤导致的并发症之一，由于患者合并 房角关闭及粘连，单独用药效果并不理想，结合晶体超乳手术+玻璃体切除术能 够有效进行治疗［1】。治疗过程中配合相应的综合护理干预，针对性进行专业护 理［2】。本次主要任务是探讨外伤性晶状体脱位继发青光眼的诊治及临床护理疗 效，选择2013年1月到2015年1月入住我院的50例外伤性晶状体脱位继发青 光眼患者，采用手术与口服药的治疗方法合并综合护理方式，取得了较好的治疗 效果。现报道如下