不同护理方法对祛眼袋手术恢复的临床比较.docxVIP

不同护理方法对祛眼袋手术恢复的临床比较 王曙曼 郝平（通信作者）张辉 李玲 （山西医科大学第二医院整形科 山西太原030001） 【摘要】目的 研究单纯加压法、冰敷加压法两种护理方法对祛眼袋手术术 后恢复的临床应用价值。方法 收集从2010年1月至2013年1月就诊于我院的 祛眼袋手术患者160例，年龄在40?50岁之间，女性，术后随访6-12个月，观 察术后患者的恢复时间及其自然程度。结果 两组手术及术后护理均顺利完成, 单纯加压法护理拆线时肿胀重，术区淤血明显，H术后恢复时间较长，而冰敷加 压法护理拆线时肿胀较轻，术区淤血不明显，术后恢复时间短。术后60天随访， 行单纯加压法护理的患者47例（58.63%）恢复正常，行冰敷加压法护理的患者 71例（88.75%）恢复正常。结论 冰敷加压法护理有降温、止血、镇痛和消肿 的作用，合理的冰敷加压护理方法能够有效缩短祛眼袋手术术后恢复时间。 【关键词】加压冷敷 [Abstract】Objective: Study on simple compression method, ice pressure method two nursingmethod to pouch operation postoperative recovery value in clin ical applicati on .Methods: From 2010 Janu ary to 2013 Jan uary were collected in our hospital for treatment of pouch operation of the 160 cases of patients, female, aged between 40-50 years old, 6-12 months after operation, the patients were observed and the natural degree of recovery time. Results: Two groups of operation and postoperative care were successfully completed,simple compression method nursing stitches when theswelling,the operation area congestion was obvious,and postoperative recovery time is Ionger,and the ice pressure nursingstitches when the swelling is lighe,the operation area congest!on is not obvious,the postoperative recovery time is short.After 60 days offollow-up,47 cases underwent simple compression method nursing of patiengs（58.63%）returned to normal for ice pressure of 71cases nursing patient（88.75%）returned to normal. Conclusion: icepressure cooli ng hemostasis, an algesia n ursing, and the role of swelli ng, reas on able ice compression nursing method can effectively shorten the recovery time after surgery to remove pouch operation. 【Key words] pressurized ice pressure 【中图分类号】R473.6 【文献标识码】B 【文章编号】1672-5085 （2013） 35-0222-02 1临床资料 1.1 一般资料 实验数据均来自2010年1月至2013年1月就诊我院的祛眼袋手术患者，选 择年龄在40岁至50岁之间的患者160例，均为女性，术后行单纯加压法护理的 患者80例，术后行冰敷加压法护理的患者80例。 1.2手术方法 （1） 术前准备 1）如有结膜炎、睑缘炎、严重砂眼者必须治愈后才能手术。眼周有炎症者暂 缓手术。术前一天滴抗菌素眼药水，一日两次。2）有岀血倾向病史的受术者要 检查血小板和出、凝血时间。3）术前需测血压和做心电图，如有轻度异常，在 术前要对症用药。4）避开月经期施行手术。5）妊娠前期（三