眼球按摩护理在行小梁切除术的青光眼患者中的应用

目的 分析眼球按摩护理在青光眼小梁切除术后患者中的实际应用价值。方法 选取梅州市梅江 区深梅眼科医院2021年1月-2022年12月接受眼小梁切除术治疗的60例青光眼患者作为研究对象，采取随机 数字表法将其分为对照组和试验组，各30例。对照组术后接受常规护理，试验组在常规护理的基础上实施 眼球按摩护理，比较两组护理前后眼压变化情况、手术成功率、护理前后眼部疼痛评分及术后并发症发生 情况。结果 试验组护理后第1、3、6个月眼压低于对照组，差异有统计学意义（P＜0.05）；试验组手术成 功率为93.33%，高于对照组的73.33%（P＜0.05）；试验组术后第3、7、14天眼部疼痛评分低于对照组，差 异有统计学意义（P＜0.05）；试验组术后并发症发生率为3.33%，低于对照组的23.33%（P＜0.05）。结论 对行小梁切除术后的青光眼患者实施眼球按摩护理，可有效降低术后眼压，提升手术成功率，减少术后并 发症，值得临床应用。

Application of Eyeball Massage Nursing in Glaucoma Patients Undergoing Trabeculectomy

Objective To analyze the practical application value of eyeball massage nursing in glaucoma patients undergoing trabeculectomy. Methods A total of 60 patients with glaucoma who underwent trabeculectomy in Shenmei Eye Hospital in Meijiang District, Meizhou from January 2021 to December 2022 were selected as the research objects. They were divided into control group and experimental group by random number table method, with 30 patients in each group. The control group received routine nursing after operation, and the experimental group received eyeball massage nursing on the basis of routine nursing. The changes of intraocular pressure before and after nursing, the success rate of operation, the score of eye pain before and after nursing and the occurrence of postoperative complications were compared between the two groups. Results The intraocular pressure of the experimental group was lower than that of the control group after 1, 3 and 6 months of nursing, and the difference was statistically significant (P<0.05). The success rate of operation in the experimental group was 93.33%, which was higher than 73.33% in the control group (P<0.05). The eye pain score of the experimental group was lower than that of the control group on the 3rd, 7th and 14th day after operation, and the difference was statistically significant (P<0.05). The incidence of postoperative complications in the experimental group was 3.33%, which was lower than 23.33% in the control group (P<0.05). Conclusion Eye massage nursing for glaucoma patients after trabeculectomy can effectively reduce postoperative intraocular pressure, improve the success rate of surgery, reduce postoperative complications, and is worthy of clinical application.