刘尧　 苟伟

【摘  要】目的：探讨泪囊炎鼻腔泪囊吻合术后患者采取局部冰敷的临床效果。方法：对我院行鼻腔泪囊吻合术中的80例泪囊炎病例予以随机抽取，研究病例均为2018年10月-2019年10月期间入院收治，应用数字表法予以随机分组。对照组40例采取予以泪囊炎鼻腔吻合术后常规护理，观察组40例在对照组基础上采取局部冰敷护理，对比两组病例临床疗效及相关临床指标。结果：观察组病例临床疗效经评测为97.5%，显著高于治疗组85.0%，数据具有统计学意义（P<0.05）;观察组手术区域疼痛程度、眶周水肿发生率均低于对照组，数据具有统计学意义（P<0.05）。结论：泪囊炎鼻腔泪囊吻合术后患者施以局部冰敷，可有效提高临床治疗效果，有助于消除术眼水肿情况，减轻手术疼痛，应用效果显著。

【关键词】泪囊炎;鼻腔泪囊吻合术;局部冰敷;临床疗效

【中圖分类号】R473      【文献标识码】A      【文章编号】1672-3783（2020）06-0056-01

【Abstract】Objective：To investigate the clinical effect of local ice compress in patients with dacryocystitis after dacryocystorhinostomy.Methods：80 cases of dacryocystitis underwent dacryocystorhinostomy in our hospital were randomly selected.All the study cases were admitted to hospital between October 2018 and October 2019.In the control group，40 cases were treated with routine nursing after dacryocystitis and nasal anastomosis，and in the observation group，40 cases were treated with local ice compress nursing on the basis of the control group.Results： the clinical efficacy of the observation group was 97.5%， which was significantly higher than that of the treatment group （85.0%）， with statistically significant data （P<0.05）.In the observation group， the degree of pain in the surgical area and the incidence of periorbital edema were lower than those in the control group， with statistically significant data（P<0.05）.Conclusion：after dacryocystitis and dacryocystorhinostomy，local ice compress can effectively improve the clinical treatment effect，help to eliminate eye edema， reduce the pain of operation，and the application effect is significant.

【key words】dacryocystitis;Dacryocystorhinostomy;Local ice compress;Clinical curative effect

临床认为，慢性泪囊炎诱病因素多与沙眼、鼻炎、鼻中隔偏曲、下鼻甲肥大等因素有关，泪液不能排出，长期滞留在泪囊内，泪液中滋生的细菌刺激泪囊壁，引起泪囊黏膜慢性炎症[1]。多发于中年女性，常见治疗方式为鼻腔泪囊吻合术，但术后容易出现并发症，因此应采取护理手段进行干预。本文中探究泪囊炎鼻腔泪囊吻合术后患者采取局部冰敷的临床效果，详细研究内容如下：

1. 资料与方法

1.1 一般资料

对我院行鼻腔泪囊吻合术中的80例泪囊炎病例予以随机抽取，研究病例均为2018年10月-2019年10月期间入院收治，应用数字表法予以随机分组。观察组收治的40例中，年龄抽取范围介于40-76岁之间，平均年龄（63.46±5.69）岁，男女比为 14/26;对照组收治的40例中，年龄抽取范围介于40-79岁之间，平均年龄（64.26±6.81）岁，男女比15/25;组间病例自然信息具均衡性（P>0.05）。

1.2 方法

两组病例均施……