高度近视眼伴后巩膜葡萄肿黄斑裂孔性视网膜脱离术后并发症的护理干预

目的探讨高度近视眼伴后巩膜葡萄肿黄斑裂孔性视网膜脱离术后并发症的发生情况及其护理干预措施。方法选取2010年1月至2011年12月我院收治的高度近视眼伴后巩膜葡萄肿黄斑裂孔性视网膜脱离患者120例为观察对象，所有患者行玻璃体切割联合硅油填充术，观察术后并发症情况。结果120例患者术后有14例发生高眼压占11．67％，经护理后全部恢复正常；术后有6例发现出血，经对应护理后全部吸收；术后有68例疼痛难忍，经对应护理后，56例疼痛缓解，12例不能缓解，遵医嘱给予对症处理；术后有31例发生白内障，2例发生眼内感染，均遵医嘱给予相应处理。结论高眼压、眼内出血、白内障、术后疼痛、眼内感染是高度近视眼伴后巩膜葡萄肿黄斑裂孔性视网膜脱离术后常见的并发症，有针对性的护理干预措施有利于并发症的治疗。

Nursing of postoperative complications for patients with high myopia combining posterior scleralstaphyloma macular rhegmatogenous retinal detachment

Objective To study the postoperative comphcations and nursing intervention of high myopia combining posterior scleral staphyloma macular rhegmatogenons retinal detachment. Methods From January 2010 to December 2011, 120 cases of patients with high myopia combining posterior scleral staphyloma macular rhet~natogenous retinal detachment were selected as research objects. All patients were given vitrectomy combined with silicone oil filling operation, then we observed the postoperative complications. Results In 120 patients, 14 cases of patients occurred high intraocular pressure （11.67% ）, 6 cases of patients were found bleeding（5.0%）, 68 cases of patients had great pain, all the postoperative complications alleviated af- ter nursing intervention, the comparing difference had statistical significance between before and after nurs- ing intervention. 31 cases of patients occurred cataract （25.83%）, and 2 cases in intraocular infection （1.67%）, the postoperative complications were properly handled. Conclusions High intraocular pres- sure, internal bleeding of eyes, cataracts, postoperative pain, and intraocular infection are the postoperative complications of high myopia combining posterior scleral staphyloma macular rhegmatogenous retinal de- tachment, targeted nursing intervention can effectively treat complications.