玻璃体切除术治疗严重眼外伤36例围术期护理体会

目的:探讨严重眼外伤行玻璃体切除术围术期的护理方法。方法:对36例严重眼外伤行玻璃体切除术患者,术前进行良好的心理护理、充分准备、有效的固视训练,术后做好体位护理、眼痛观察、预防并发症的护理。结果:术后视力提高23例(63.9%),视力不变10例(27.8%),视力下降3例(8.3%)。12例眼内异物均经手术顺利取出,19例视网膜复位,1例因视网膜全脱离未能复位。结论:对严重眼外伤行玻璃体切除术患者,给予正确、全面、有重点的护理,可明显减少术后并发症的发生,促进患者恢复。

Experience of perioperative nursing care in the treatment of 36 patients with severe ocular injury by vitrectomy

Objective: To explore approaches of perioperative nursing care in the treatment of severe ocular injury by vitrectomy.Methods: Thirty six patients with severe ocular injury were given mentality nursing care,training on visual fixation preoperatively and nursing care in postures,observation on ache in eyes and prevention of complication postoperatively.Results: The improvement of vision was found in 23 cases(63.9%);no improvement in 10 cases(27.8%);hypopsia in 3 cases(8.3%).Intraocular foreign bodies of 12 cases were taken out smoothly;retinal reattachment in 19 cases;retinal reattachment failed in 1 cases due to complete retinal detachment.Conclusion: Proper,comprehensive and focused nursing care can evidently decrease incidence of complication so as to accelerate patient's recovery in the treatment of severe ocular injury by vitrectomy.