CAJ | 학술논문

目的：观察糖尿病新生血管性青光眼患者行Ahmed青光眼引流阀植入术后早期并发症，对各种并发症及其发生原因进行针对性的护理，以减少并发症及其所带来的危害。方法对行Ahmed青光眼引流阀植入的糖尿病新生血管性青光眼患者38例（38只眼），进行观察和针对性护理。结果38例（38只眼）患者中出现术后早期低眼压浅前房7例（7只眼），短暂性眼压升高4例（4只眼），前房出血12例（12只眼），阀门管堵塞2例（2只眼）。术前与术后出院眼压比较，平均下降（34．17±14．99）mmHg。视力提高11例（11只眼），下降1例（1只眼），不变26例（26只眼）。结论糖尿病新生血管性青光眼患者行Ahmed青光眼引流阀植入术围手术期血糖的稳定控制，耐心的心理疏导，术中的个性化治疗，术后及时发现并发症并配合医生给予正确的处理和护理，可以取得较满意的临床疗效。
목적：관찰당뇨병신생혈관성청광안환자행Ahmed청광안인류벌식입술후조기병발증，대각충병발증급기발생원인진행침대성적호리，이감소병발증급기소대래적위해。방법대행Ahmed청광안인류벌식입적당뇨병신생혈관성청광안환자38례（38지안），진행관찰화침대성호리。결과38례（38지안）환자중출현술후조기저안압천전방7례（7지안），단잠성안압승고4례（4지안），전방출혈12례（12지안），벌문관도새2례（2지안）。술전여술후출원안압비교，평균하강（34．17±14．99）mmHg。시력제고11례（11지안），하강1례（1지안），불변26례（26지안）。결론당뇨병신생혈관성청광안환자행Ahmed청광안인류벌식입술위수술기혈당적은정공제，내심적심리소도，술중적개성화치료，술후급시발현병발증병배합의생급여정학적처리화호리，가이취득교만의적림상료효。
Objective To observe and care Ahmed glaucoma valve implantation early postoperative complications for diabetic patients with neovascular glaucoma , hoping to reduce complications and all its implications hazard .Methods The clinical data of 38 patients ( 38 eyes ) with diabetic neovascular glaucoma who underwent Ahmed glaucoma valve implantation were observed and targeted treatments .Results Among 38 patients (38 eyes) with diabetic neovascular glaucoma , there were 7 cases (7 eyes) with ocular hypotension and shallow anterior chamber , 4 cases ( 4 eyes ) with transient ocular hypertension , 12 cases ( 12 eyes ) with hyphema, 2 cases (2 eyes) with valve tube blockage in the early postoperative .Compared postoperative intraocular pressure with that of preoperative , intraocular pressure was decreased with the average decline (34.17 ±14.99)mmHg.There were 11 cases (11 eyes) with improved vision, one case (one eye) with decreased vision, and 26 cases (26 eyes) with stable vision.Conclusions Blood sugar of stability control in perioperative , patient psychological counseling , individualized treatment of intraoperative and timely detection of postoperative complications to give the right treatment and care with the doctors , can get a more satisfactory clinical efficacy .