眼球不同按摩护理方式对青光眼患者小梁切除术后眼压及手术成功率的影响

目的探讨青光眼小梁切除术后不同眼球按摩护理方式对眼压及手术成功率的影响。方法收集小梁切除术后的青光眼患者40例（40只眼），根据患者的年龄、知识水平、接受能力、行为特点及健康状况不同分为患者自行按摩组23例（23只眼）及家属协助按摩组17例（17只眼）。住院期间（术后1周）两组患者均由受过专业训练的护士进行按摩，并详细指导患者或家属。于术后1周测量并比较两组患者的眼压。出院后两组患者分别由患者自行或家属协助按摩，于术后3个月观察并比较两组患者的眼压及手术成功率。结果术后1周，两组患者眼压差异无显著意义。术后3个月，自行按摩组眼压明显低于协助按摩组，自行按摩组手术成功率明显高于患者家属协助按摩组，差异均有显著意义（P〈0．05）。结论小梁切除术后规范、正确的眼球按摩护理方式对功能性滤过泡的形成及眼压的控制具有十分重要的作用，可明显提高手术成功率。

Effect on the success rate of surgery and intraocular pressure for patients with glaucoma after trabeculectomy by different ways of eyeball massage

Objective To study the effect on the success rate of surgery and intraocular pressure for patients with glaucoma after trabeculectomy by different ways of eyeball massage. Method 40 glaucoma patients （40 eyes） who have been performed trabeculectomy .were involved in this study. According to patient＇s age, level of knowledge, a- bility, behavior characteristics and health condition, these patients were divided into patient self massage group （23 cases, 23 eyes） and their family assistance massage group （17 cases, 17 eyes）. During the hospital stay （1 week）, nurses were responsible for ocular massage and training for these two group patients and their families. Three months after trabeculectomy, patients＇ intraocular pressure and success rate of operation in these two groups were observed and compared. Result Three months after trabeculectomy, the intraocular pressure in patients with self massage group was lower than that of family assistance massage, the success rate of operation in patients with self massage group was higher than that of family assistance massage. There was significant difference （P〈 0.05）. Conclmion Standard and correct ocular massage nursing mode plays an important role for the formation of functional filtering hleb and control of intraoeular pressure after trabeculectomy. Standard and correct ocular massage nursing mode can significantly improve the success rate of operation.