CAJ | 학술논문

目的：观察综合护理干预预防白内障超声乳化术后患者干眼症发生的效果。方法对2013年10月至2014年3月在我院行白内障超声乳化术的患者400例并随机分为两组，每组200例。对照组采取常规护理，干预组采取护理干预+常规护理；观察两组患者术后干眼症发生情况。结果干预组患者术后干眼症发生率显著低于对照组，差异有统计学意义(P<0.05)；与对照组相比，干预组患者泪液分泌量多，角膜荧光染色评分低，而BUT评分高，差异有统计学意义(P<0.05)。结论综合护理干预不仅能有效预防白内障超声乳化术后患者干眼症的发生，而且有利于改善患者预后，对提高手术疗效具有重要意义。
목적：관찰종합호리간예예방백내장초성유화술후환자간안증발생적효과。방법대2013년10월지2014년3월재아원행백내장초성유화술적환자400례병수궤분위량조，매조200례。대조조채취상규호리，간예조채취호리간예+상규호리；관찰량조환자술후간안증발생정황。결과간예조환자술후간안증발생솔현저저우대조조，차이유통계학의의(P<0.05)；여대조조상비，간예조환자루액분비량다，각막형광염색평분저，이BUT평분고，차이유통계학의의(P<0.05)。결론종합호리간예불부능유효예방백내장초성유화술후환자간안증적발생，이차유리우개선환자예후，대제고수술료효구유중요의의。
Objective To observe the clinical effect of comprehensive nursing intervention in the prevention of xerophthalmia after cataract phacoemulsification. Methods 400 patients with cataract phacoemulsification in our hospital from October 2013 to March 2014 were randomly divided into two groups, with 200 cases in each group. Patients in the control group received routine nursing, while patients in the intervention group received nursing intervention on the basis of routine nursing. The incidence of xerophthalmia after surgery was observed. Results The incidence of xerophthalmia of the intervention group was lower than that of the control group, with statistically significant difference (P<0.05). Compared with the control group, the intervention group had more tears secretion, lower corneal fluorescein staining score, and higher break-up time (BUT) score, and all the difference was statistically significant between two groups (P <0.05). Conclusions Comprehensive nursing intervention can not only prevent the incidence of xerophthalmia after cataract phacoemulsification effectively, but also help to improve the prognosis of patients, which has important significance in improving surgical outcome.