青光眼阀植入治疗难治性青光眼的围手术期护理

摘要

目的 总结青光眼阀植入治疗难治性青光眼的围手术期护理体会.方法 回顾性分析2009年1月～2011年5月本科室收治的18例行青光眼阀植入治疗难治性青光眼患者的临床资料,并总结围手术期的护理要点.结果 患者术程顺利,术后出现前房出血1例,低眼压2例,浅前房3例,引流管内口堵塞2例.术后眼压平均( 17.72±5.58)mm Hg,较术前明显降低.随访6～ 12个月,患者的视力恢复情况:2例(11.11％)光感,5例(27.78％)＜ 0.01,6例(33.33％)0.01～0.1,5例(27.78％)＞0.1.结论 青光眼阀植入是治疗难治性青光眼的有效方法,术前做好心理护理,解除患者的疑虑；术后做好伤口及引流管护理,预防并发症,以保证患者能顺利康复,提高患者的治疗效果.%Objective To summarize the experience of glaucoma valve implantation in refractory glaucoma perioperative nursing. Method Retrospective analysis of the clinical data of 18 patients in our department in January 2009 to 2011 May was done to sum up the nursing strategies for refractory glaucoma treated with glaucoma valve implantation surgery. Results The operations on them were smooth. One patient contracted postoperative hyphema, two Low intraocular pressure, three shallow anterior chamber, two blockage at inner end of drainage tube. The mean intraocular pressure after surgery was (17.72 ± 5.58 mmHg) was significantly reduced, compared with the preoperative pressure. 6 to 12 months follow-up showed two cases (11.11%) had light perception, the visual acuity of 5 cases (27.78%) was < 0.01, that of 6 cases (33.33%) 0.01 ~ 0.1, and in 5 cases (27.78%)> 0.1. Conclusions Glaucoma valve implantation is an effective method for the treatment of refractory glaucoma. Psychological care and relieving the patient's concerns before operation, close nursing of wounds and drainage tube and preventing complications after surgery may ensure the successful recovery of patients as well as the therapeutic effect.