急性闭角型青光眼手术患者的护理研究

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急性闭角型青光眼手术患者的护理研究

作者：张映爽

来源：《中国实用医药》2016年第33期

【摘要】目的探讨急性闭角型青光眼手术前后的临床护理方法及效果。方法对48例（76只眼）急性闭角型青光眼患者的临床资料进行回顾性分析，观察其护理方式、效果及术后并发症情况。结果治疗后，有效降低眼压患者45例，其余3例均行前房穿刺降低眼压，

眼压稳定后均行小梁切除术，术后出现浅前房5例，恶性青光眼1例，治疗后均恢复。患者手术后眼压为（15.0±2.4）mm Hg（1 mm Hg=

0.133 kPa），前房深度为（3.12±0.25）mm，均优于手术前的（56.0±6.9）mm Hg、（1.89±0.33）mm，差异有统计学意义（P

【关键词】急性闭角型青光眼；手术；护理

DOI：10.14163/https://www.wendangku.net/doc/9c17790888.html,ki.11-5547/r.2016.33.082

Research of nursing for acute angle-closure glaucoma patients ZHANG Ying-shuang. Operating Room， Henan Nanyang City Ophthalmic Hospital， Nanyang 473000， China

【Abstract】 Objective To investigate method and effect by clinical nursing for acute angle-closure glaucoma patients before and after operation. Methods A retrospective analysis was made on clinical data of 48 patients （76 eyes） with acute angle-closure glaucoma. Observation was made on nursing method， effect， and postoperative complications. Results After treatment， there were 45 cases with effectively reduced intraocular pressure， and the other 3 cases all received anterior chamber puncture for intraocular pressure reducing， followed by trabeculectomy. There were 5 cases with postoperative shallow anterior chamber and 1 case with malignant glaucoma， and they were all recovered after treatment. Patients had postoperative intraocular pressure as （15.0±2.4） mm Hg （1 mm Hg=0.133 kPa）， and anterior chamber depth as （3.12±0.25） mm， which were all better than （56.0±6.9） mm Hg and （1.89±0.33） mm before operation， and the difference had statistical significance （P

【Key words】 Acute angle-closure glaucoma； Operation； Nursing

急性闭角型青光眼的发生原理为前房角的突然关闭导致房水排出通道受阻，继而引起眼

内压急剧升高，从而产生的一系列眼部及全身的病理变化，在短时间内可迅速使患者致盲，是一种损害患者视力的较为严重的眼科急症之一[1-3]。本研究对南阳市眼科医院近3年急性闭角型青光眼患者的临床表现及术后情况进行回顾性分析，探讨急性闭角型青光眼患者的护理

注意事项及改进方向。