CAJ | 학술논문

目的：总结增殖性糖尿病视网膜病变玻璃体切割术后高眼压的护理经验。方法协助患者采取正确体位，及时发现高眼压的症状和体征，按医嘱正确使用降压药物，同时做好新生血管性青光眼的护理和激光虹膜成形术的护理。结果本组21例（25眼）中，经药物治疗后眼压维持正常者15例（18眼）；2眼经激光虹膜成形治疗后眼压正常；1眼经激光虹膜成形联合虹膜周边切除后眼压正常；4眼发生新生血管性青光眼。结论在手术治疗的同时，采取正确体位，做好术后高眼压的观察及护理，可以有效地减少增殖性糖尿病视网膜病变玻璃体切割术后高眼压的发生。
목적：총결증식성당뇨병시망막병변파리체절할술후고안압적호리경험。방법협조환자채취정학체위，급시발현고안압적증상화체정，안의촉정학사용강압약물，동시주호신생혈관성청광안적호리화격광홍막성형술적호리。결과본조21례（25안）중，경약물치료후안압유지정상자15례（18안）；2안경격광홍막성형치료후안압정상；1안경격광홍막성형연합홍막주변절제후안압정상；4안발생신생혈관성청광안。결론재수술치료적동시，채취정학체위，주호술후고안압적관찰급호리，가이유효지감소증식성당뇨병시망막병변파리체절할술후고안압적발생。
Objective To summarize the nursing experience of nursing ocular hypertensive patients having undergone vitrectomy for proliferative diabetic retinopathy.Methods Twenty-one ocular hypertensive patients having undergone vitrectomy for proliferative diabetic retinopathy were assisted to take the correct posture.They were closely observed for timely detection of ocular symptoms and signs and asked to take antihypertensive drugs.At the same time,those with neovascular glaucoma and laser iris neovascular glaucoma plasty were carefully nursed.Results Among the 21 patients(25 eyes),15 patients(18 eyes)had intraocular pressure normalized by way of medicine treatment,the intraocular pressure in another two eyes normalized after laser peripheral iridoplasty;the pressure in another one normalized after laser peripheral iridoplasty combined with peripheral iridectomy and another 4 eyes developed with neovascular glaucoma.Conclusion Combined with the operation,postoperative observation and nursing of postoperative high intraocular pressure can effectively reduce the incidence of ocular hypertension after pars plana vitrectomy for proliferative diabetic retinopathy.