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器械护士安装人工晶体与术者安装人工晶体的效果对比
引用本文:钟琪. 器械护士安装人工晶体与术者安装人工晶体的效果对比[J]. 现代护理, 2007, 13(2): 182-184
作者姓名:钟琪
作者单位:北京大学第三医院眼科
摘    要:目的评价手术过程中器械护士安装人工晶体入植入器对白内障手术的影响。方法对72名患者(54~75岁,69.9±7.1岁)144只眼的白内障超声乳化联合人工晶体手术进行观察,患者左眼手术时由器械护士安装SensarAR40e晶体(AMO公司)入UnfolderSilver植入器(AMO公司),右眼手术时相同人工晶体由术者完成,手术时间自手术切口至起,结膜下注射止,所有手术由相同术者和器械护士完成,分别记录手术时间。术后第1天和第1周测量2组最佳矫正视力、眼压以及房水闪辉进行比较。结果器械护士安装晶体(8.6±1.9)min较由术者安装(12.0±2.7)min手术时间明显缩短(P<0.01),而2组术后最佳矫正视力、眼压以及房水闪辉等均没有明显差异。结论器械护士安装人工晶体与术者安装人工晶体相比,可以明显缩短白内障超声乳化手术时间,提高手术效率。

关 键 词:白内障  超声乳化  手术  人工晶体
文章编号:1009-9689(2007)02-0182-03
修稿时间:2006-05-15

Contrast on effect of installing manual crystalloid by instrument nurse or operator
ZHONG Qi. Central Operation Room of Ophthalmic,Peking University,Beijing ,China. Contrast on effect of installing manual crystalloid by instrument nurse or operator[J]. Modern Nursing, 2007, 13(2): 182-184
Authors:ZHONG Qi. Central Operation Room of Ophthalmic  Peking University  Beijing   China
Affiliation:ZHONG Qi. Central Operation Room of Ophthalmic,Peking University,Beijing 100083,China
Abstract:Objective To evaluate the influence of loading intraocular lens by nurse on effect of phacoemulsification plus IOL implantation. Methods 72 patients (144 eyes) received phacoemulsification and IOL implantation in Peking University Eye Center, and their age were from 54 to 75 years old. Each patient was assigned to receive Sensar AR40e(made by AMO). In the operation, all the IOLs of the left eyes were loaded by the same nurse and the IOLs of the right were loaded by the same operator. The operation duration was from making incision to subconjunctiva injection. One day and one week after the operation, the eyes underwent several tests including best corrective visual acuity (BCVA), the intraocular pressure (IOP) and aqueous flare. The data were analyzed. Results The operation duration of the intraocular lens loaded by the nurse was shorter than that of the intraocular lens loaded by the operator (P<0.01). There was no significant difference in BCVA, IOP and aqueous flare between the two groups (P>0.05). Conclusions IOL loaded by nurse can decrease the duration of phacoemulsification plus IOL implantation.
Keywords:Cataract  Phacoemulsification  Surgery  IOL
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