两种眼膏用于口腔颌面外科手术眼部护理效果的比较

摘要

目的 比较两种眼膏用于口腔颌面外科全麻患者术中眼部护理的效果.方法 将符合标准的患者随机分为实验1组(涂抹金霉素眼膏,使用聚乙烯薄膜敷贴)、实验2组(涂抹妥布霉素/地塞米松眼膏使用聚乙烯薄膜敷贴)与对照组(仅用聚乙烯薄膜敷贴),观察各组患者术后眼部护理情况.结果 与对照组比较,两实验组眼部并发症减少(P＜0.05)；实验1组眼部并发症发生率高于实验2组(P＜0.05)；实验1组的并发痘主要集中于儿童和老年患者；实验2组并发症的发生率在各年龄段间无集中趋势.结论 两种眼膏用于眼部护理均能有效减少口腔颌面外科手术全麻患者眼部并发症的发生,使用妥布霉素/地塞米松眼膏眼部护理的效果优于金霉素眼膏,其中妥布霉素/地塞米松眼膏比金霉素眼膏更适用于儿童和老年患者.%Objective To compare the effect of two types of ointment on the ocular nursing for patients after general anesthesia in oral and maxillofacial surgery.Methods Patients conformed to the standards were randomly divided into 3 groups:experimental group 1 (coat chlortetracycline ointment to eyes and then treated with polyethylone film),experimental group 2 (coat tobramycin and dexamethasone ointment to eyes then treated with polyethylone film),control group(only treat with polyethylone film).The ocular nursing of patients after operation were observed.Results Compared with control group,the rate of ocular complication in the two experimental groups decreased significantly (P ＜ 0.05),and there were significant differences between the two experimental groups (P ＜ 0.05).The complication in experimental group 1 mainly occurred among children and elderly patients,but there was no central tendency among all the age stages in experimental group.Conclusion Both two types of ointment for ocular nursing are effective to reduce the occurrence of ocular complication for the surgery patients treated with oral and maxillofacial surgery,and tobramycin and dexamethasone ointment is more suitable for children and elderly patients.