全麻下头面部手术患者眼保护方法的对比研究

摘要

Objective:To compare and assess the efficacy of eye ointment under general anesthesia eye -protection care, aim to find out the more effective measure for clinical nursing. Methods:200 general anesthesia patients were randomly divided into chlortetracycline group and tetracycline group. After the 1th ,3rd, 5th days of postoperative, we observed the clinical outcome including the availability of eye irritation, photophobia, tearing the cornea, conjunctivitis symptoms, and trichiasis, conjunctival hyperemia, corneal ulcers, vision loss and other concurrent disease and the complaints. Results:Observation outcome indicates that chlortetracycline group with 2 complications,tetracycline group had no ocular complications,no significant difference between groups( P >0. 05 ). Chlortetracycline group had photophobia, tearing and foreign body sensation with tingling in 15 cases,there was only 1 case of tetracycline group with tearing and photophobia,and 3 cases with foreign body sensation, was statistically significant in the results. Conclusions:There is no difference in the effective of eye - protection in chlortetracycline ointment and tetracycline ointment in general anesthesia patients. And the tetracycline ointment can reduce the uncomfortable symptoms more than the chlortetracycline ointment.%目的:对患者分别用金霉素软膏和四环素软膏进行眼保护护理比较,旨在寻求有效保护全麻患者眼睛的方法.方法:分别对我院需行全麻下头面部手术患者(200例)随机分成金霉素和四环素两组各100例,按照术中眼保护护理方法分别进行护理,在术后第1,3,5 d对两组患者的眼部表现及患者主诉,包括有无眼部刺痛、畏光、流泪等角膜、结膜炎症状,以及倒睫、结膜充血、角膜溃疡、视力减退等并发症及不适主诉进行比较.结果:金霉素组出现并发症2例,分别为角膜溃疡和视力减退,四环素组无眼部并发症,组间比较无统计学意义(P>0.05);金霉素组出现畏光、流泪伴刺痛和异物感共15例,四环素组只出现1例畏光,1例流泪和3例异物感,组间比较有统计学意义(P<0.05).结论:金霉素软膏和四环素软膏对头面部全麻手术患者的眼部并发症发生无差异,四环素较金霉素可以减轻眼部不适症状.