中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2013年
22期
71-72,73
,共3页
白内障超声乳化摘除术%人工晶状体%多焦点%护理
白內障超聲乳化摘除術%人工晶狀體%多焦點%護理
백내장초성유화적제술%인공정상체%다초점%호리
Phacoemulsification%Artificial lens%Multi-focus%Nursing
目的：观察AcrySof ReSTOR多焦点人工晶状体的临床应用效果及科学有效的护理。方法：对11例15只眼白内障患者行白内障超声乳化术的入院宣教、术前、术中及术后护理进行总结，定期检查患者的裸眼远、近视力，矫正远、近视力，角膜散光，人工晶状体位置，并以问卷形式调查对不同距离下的视物舒适度、是否存在眩光等视觉症状及戴镜率。结果：到位的健康宣教、心理护理使11例15只眼患者主动配合手术，术后密切观察病情，未出现并发症，裸眼及矫正远视力在0.6以上的比例分别为73%和93%，裸眼及矫正近视力Jr3（0.5）以上的比例为67%和80%。80%的患者对术后的视力表示满意。部分病例由于手术切口术后出现散光或散光加重影响视力。73%的患者能不依赖眼镜完成日常活动。结论：健康宣教贯穿整个护理过程，做好心理护理、相关知识教育，使患者积极配合各种检查，自愿接受手术；AcrySof ReSTOR多焦点人工晶状体能同时提供良好的远、近视力，手术的高质量和人工晶状体度数的精确计算是术后患者获得满意视力的重要保证。
目的：觀察AcrySof ReSTOR多焦點人工晶狀體的臨床應用效果及科學有效的護理。方法：對11例15隻眼白內障患者行白內障超聲乳化術的入院宣教、術前、術中及術後護理進行總結，定期檢查患者的裸眼遠、近視力，矯正遠、近視力，角膜散光，人工晶狀體位置，併以問捲形式調查對不同距離下的視物舒適度、是否存在眩光等視覺癥狀及戴鏡率。結果：到位的健康宣教、心理護理使11例15隻眼患者主動配閤手術，術後密切觀察病情，未齣現併髮癥，裸眼及矯正遠視力在0.6以上的比例分彆為73%和93%，裸眼及矯正近視力Jr3（0.5）以上的比例為67%和80%。80%的患者對術後的視力錶示滿意。部分病例由于手術切口術後齣現散光或散光加重影響視力。73%的患者能不依賴眼鏡完成日常活動。結論：健康宣教貫穿整箇護理過程，做好心理護理、相關知識教育，使患者積極配閤各種檢查，自願接受手術；AcrySof ReSTOR多焦點人工晶狀體能同時提供良好的遠、近視力，手術的高質量和人工晶狀體度數的精確計算是術後患者穫得滿意視力的重要保證。
목적：관찰AcrySof ReSTOR다초점인공정상체적림상응용효과급과학유효적호리。방법：대11례15지안백내장환자행백내장초성유화술적입원선교、술전、술중급술후호리진행총결，정기검사환자적라안원、근시력，교정원、근시력，각막산광，인공정상체위치，병이문권형식조사대불동거리하적시물서괄도、시부존재현광등시각증상급대경솔。결과：도위적건강선교、심리호리사11례15지안환자주동배합수술，술후밀절관찰병정，미출현병발증，라안급교정원시력재0.6이상적비례분별위73%화93%，라안급교정근시력Jr3（0.5）이상적비례위67%화80%。80%적환자대술후적시력표시만의。부분병례유우수술절구술후출현산광혹산광가중영향시력。73%적환자능불의뢰안경완성일상활동。결론：건강선교관천정개호리과정，주호심리호리、상관지식교육，사환자적겁배합각충검사，자원접수수술；AcrySof ReSTOR다초점인공정상체능동시제공량호적원、근시력，수술적고질량화인공정상체도수적정학계산시술후환자획득만의시력적중요보증。
Objective:To observe the clinic effects and scientific effective nursing of AcrySof ReSTOR multi-focus artificial lens.Method:Summary was made about the admission education and nursing for pre,during and post operation for 11 patients with 15 problematic eyes.Examinations were made periodically about the far and near eyesights for naked eyes,corrected eyes,corneal astigmatism and the position of the artificial lens.The questionnaire form was used to investigate the comfort of seeing objects in different distance and the existence of the light dizziness and glasses-wearing rate.Result:The health education and psychological nurse in place promoted the patients’cooperation in operation and recovering.Complication was not found.Seventy-three percent of the patients had the far eyesight of 0.6 or over,ninety-three percent of the patients had the corrected far eyesight of 0.6. Sixty-seven percent and eighty percent patients had the eyesight over 0.5 for the naked and corrected eyesight respectively. Eighty percent of the patients were satisfied with the result of the operation.Conclusion:Health education goes through the whole nursing duration,therefore psychological nurse and corresponding education are important to help the patients to cooperate in different examinations and operation. AcrySof ReSTOR multi-focus artificial lens may offer excellent far and near eyesight. High-qualified operation and the accurate calculation of degrees of the artificial lens are the base for the ideal eyesight after operation.
