宋仁欢

玻璃体切除术治疗复杂眼外伤的临床护理探究

宋仁欢

目的 探讨玻璃体切除术治疗复杂眼外伤的护理方法与效果。方法 回顾性分析我院复杂眼外伤玻璃体切除术患者临床资料。结果 观察组患者术后并发症发生率为6.7%，低于对照组患者术后并发症发生率的25.0%，P＜0.05，观察组患者只有3例表示不满意，护理满意度为95.0%，对照组患者有17例对护理工作不满意，满意度为71.7%，观察组患者的护理满意度高于对照组患者，P＜0.05。结论 针对玻璃体切除术治疗的复杂眼外伤患者，综合护理的应用取得了良好的护理效果。

玻璃体切除术；复杂眼外伤；综合护理

【Abstract】

Objective To investigate the nursing methods and effects of vitrectomy for complicated ocular trauma. Methods Retrospective analysis of clinical data of patients with complicated ocular trauma in our hospital. Results Observation group of patients with postoperative complication rate was 6.7%，significantly lower than the control group of patients with postoperative complication rate of 25.0%，P＜0.05，and the observation group only 3 cases were not satisfied and nursing satisfaction was 95.0%. In the control group had 17 cases were not satisfied，satisfaction rate was 71.7%. Observation and nursing satisfaction of patients was higher than that of the control group，P＜0.05. Conclusion In view of the complicated ocular trauma patients treated by vitrectomy，the application of comprehensive nursing care has achieved good results.

【Key words】Vitrectomy，Complicated ocular trauma，Integrated care

复杂眼外伤患者的患病性质决定了有效的护理工作对手术效果具有意义［1］。本研究在本院采用玻璃体切除术治疗的复杂眼外伤患者中选取120例，研究分析患者的手术资料与护理资料，现将分析结果报告如下。

1　资料与方法

1.1一般资料

选取本院收治的经玻璃体切除术治疗的120例复杂眼外伤患者，由我院提供护理方式的不同将其分为观察组与对照组各60例。观察组中，男39例，女21例，左眼32例，右眼28例，年龄在8～64岁，平均年龄为（28.2±3.7）岁，外伤原因包括36例敲打致异物溅击伤，10例眼球穿孔伤以及14例巩膜破裂伤。对照组中，男37例，女23例，左眼33例，右眼27例，年龄在6～67岁，平均年龄为（29.5±4.5）岁，外伤原因包括12例眼球穿孔伤，33例敲打致异物溅击伤以及15例爆炸伤。两组患者的性别、年龄、受伤原因等方面的数据差异无统计学意义，P＞0.05。

1.2治疗护理方法

120例复杂眼外伤患者均采用玻璃体切除术治疗，具体治疗方式包括白内障摘除、巩膜环扎术、角膜移植、视网膜复位等等。……