CAJ | 학술논문

目的探讨开角型青光眼患者行EX-PRESS引流钉植入手术的护理措施.方法对12例行EX-PRESS引流钉植入手术的青光眼患者进行有针对性的术前宣教、细致的术中及术后护理,以及出院指导和随访.结果 12例患者均治愈出院.其中2例术后发生浅前房、低眼压,1例发生虹膜堵塞引流钉内口,经积极处理后恢复.出院时眼压均在正常范围,视力与术前相比无明显降低.结论科学有效的护理有助于提高患者对青光眼的认识,对术式的理解及对随访的依从性,从而提高手术成功率.
목적 탐토개각형청광안환자행EX-PRESS인류정식입수술적호리조시.방법 대12례행EX-PRESS인류정식입수술적청광안환자진행유침대성적술전선교、세치적술중급술후호리,이급출원지도화수방.결과 12례환자균치유출원.기중2례술후발생천전방、저안압,1례발생홍막도새인류정내구,경적겁처리후회복.출원시안압균재정상범위,시력여술전상비무명현강저.결론 과학유효적호리유조우제고환자대청광안적인식,대술식적리해급대수방적의종성,종이제고수술성공솔.
Objective To determine the nursing measures of patients with primary open angle glaucoma undergoing implantation of EX-PRESS device.Methods 12 glaucomatous patients with EX-PRESS miniature glaucoma device received appropriate hygienic-education preoperatively,intensive nursing services during and after surgery,as well as health instructions in the follow-up period.Results 12 patients finally recovered from the surgery.The main post-operative complications were low tension and shallow anterior chamber(2 eyes),obstruction of the device by iris (1 eye).The intraocular pressures of all these patients remained normal levels before discharge and the visual acuity were the same as those pre-operation.Conclusions The effective nursing services for patients with EX-PRESS implantation is beneficial to the rehabilitation by increasing the adherence to the follow-up schedule,contributing to better understanding the common sense of the disease and the choice of the surgery.