护理干预对翼状胬肉患者手术疗效影响的观察

摘要

目的：探讨护理干预对翼状胬肉手术患者临床效果的影响。方法将67例翼状胬肉患者按护理方法的不同并根据知情同意的原则分为观察组（35例）和对照组（32例），所有患者均在局麻下行翼状胬肉切除联合自体角膜缘干细胞移植术，对照组患者给予常规护理，观察组患者在常规护理基础上进行围手术期护理干预。结果与对照组比较，观察组术中配合满意度高、手术时间短、术中血压较平稳、术后角膜上皮愈合时间短[观察组（3．2±0．4）d，对照组（5．2±0．7）d]，观察组无复发，对照组复发1例。结论护理干预能有效缩短手术时间、减少手术风险、促进角膜创面愈合、改善术后症状、降低复发率、提高治疗效果。%Objective To investigate clinical effects of nursing intervention on the patients with pterygium surgery.Methods Based on different nursing methods and with the knowledge and consent of the patients, 67 cases of pterygium were divided into the observation group (35 cases) and the control group (32 cases) .All the patients received pterygium excision surgery combined with au-toallergic corneal limbus stem cell transplantation under local anesthesia.The patients in the control group received routine care, while the patients in the observation group received perioperative nursing intervention in addition to routine care.Results As compared with the control group, the observation group had higher degree of satisfaction, less operation time, more stable blood pressure during the op-eration, less healing time of cornea epithelium after operation (the observation group=(3.2 ±0.4)d, the control group=(5.2 ±0.7) d).There were no recurrent cases in the observation group, while the control group had one recurrence.Conclusion Nursing interven-tion could effectively shorten operation time, decrease surgical risks, promote healing of corneal surgical wound, improve postoperative symptoms, decrease recurrence and enhance therapeutic effects.