中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2014年
16期
1943-1945
,共3页
护理%白内障%超声乳化白内障吸除术%晶体植入,眼内%视力,低%老年人
護理%白內障%超聲乳化白內障吸除術%晶體植入,眼內%視力,低%老年人
호리%백내장%초성유화백내장흡제술%정체식입,안내%시력,저%노년인
Nursing%Cataract%Phacoemulsification%Lens implantation,intraocular%Vision,low%Elderly
目的 探讨高龄白内障患者超声乳化与人工晶体植入术后视力恢复情况及护理干预方法.方法 选取2010年1月-2012年1月收治的98例白内障患者,对其进行白内障超声乳化与人工晶体植入手术,分析其术后视力恢复情况及其危险因素,以术后最佳矫正视力≤0.3为低视力诊断标准.结果 98例患者术后视力≤0.3者19例,＞0.3 ～0.5者23例,＞0.5 ～0.8者31例,＞0.8者25例.19例低视力患者中,其中糖尿病性视网膜病变患者7例,青光眼性神经性萎缩患者6例,矫正后屈光不正患者5例,近视性脉络膜视网膜变性患者1例.不同年龄、是否合并其他疾病、抗生素使用时间、有无组织损伤等不同因素患者术后低视力情况比较,差异有统计学意义(x2值分别为9.146,4.499,9.062,26.518;P ＜0.05).结论 高龄患者白内障超声乳化与人工晶体植入术对提高视力具有良好的疗效.年龄＞65岁、合并其他疾病、抗生素使用时间＞5d和手术时出现组织损伤是显著增加低视力发病率的危险因素.
目的 探討高齡白內障患者超聲乳化與人工晶體植入術後視力恢複情況及護理榦預方法.方法 選取2010年1月-2012年1月收治的98例白內障患者,對其進行白內障超聲乳化與人工晶體植入手術,分析其術後視力恢複情況及其危險因素,以術後最佳矯正視力≤0.3為低視力診斷標準.結果 98例患者術後視力≤0.3者19例,＞0.3 ～0.5者23例,＞0.5 ～0.8者31例,＞0.8者25例.19例低視力患者中,其中糖尿病性視網膜病變患者7例,青光眼性神經性萎縮患者6例,矯正後屈光不正患者5例,近視性脈絡膜視網膜變性患者1例.不同年齡、是否閤併其他疾病、抗生素使用時間、有無組織損傷等不同因素患者術後低視力情況比較,差異有統計學意義(x2值分彆為9.146,4.499,9.062,26.518;P ＜0.05).結論 高齡患者白內障超聲乳化與人工晶體植入術對提高視力具有良好的療效.年齡＞65歲、閤併其他疾病、抗生素使用時間＞5d和手術時齣現組織損傷是顯著增加低視力髮病率的危險因素.
목적 탐토고령백내장환자초성유화여인공정체식입술후시력회복정황급호리간예방법.방법 선취2010년1월-2012년1월수치적98례백내장환자,대기진행백내장초성유화여인공정체식입수술,분석기술후시력회복정황급기위험인소,이술후최가교정시력≤0.3위저시력진단표준.결과 98례환자술후시력≤0.3자19례,＞0.3 ～0.5자23례,＞0.5 ～0.8자31례,＞0.8자25례.19례저시력환자중,기중당뇨병성시망막병변환자7례,청광안성신경성위축환자6례,교정후굴광불정환자5례,근시성맥락막시망막변성환자1례.불동년령、시부합병기타질병、항생소사용시간、유무조직손상등불동인소환자술후저시력정황비교,차이유통계학의의(x2치분별위9.146,4.499,9.062,26.518;P ＜0.05).결론 고령환자백내장초성유화여인공정체식입술대제고시력구유량호적료효.년령＞65세、합병기타질병、항생소사용시간＞5d화수술시출현조직손상시현저증가저시력발병솔적위험인소.
Objective To investigate the recovery of visual acuity and nursing imervention of elderly cataract patients after phacoemalsification and intraocular lens implantation.Methods A total of 98 patients,aged 55 to 78 years,were selected from January 2010 to January 2012.All the patients received th e phacoemulsification and intraocular lens implantation.Then,the treatment and risk factors for the recovery were analyzed.The postoperative best corrected visual acuity ≤ 0.3 was regarded as diagnostic criteria.Results Totals of 98 cases of postoperative visual acuity were analyzed,including low vision acuity ≤0.3 in 19 cases,0.3 to 0.5 in 23 cases,0.5 to 0.8 in 31 cases and ＞0.8 in 25 cases.After analysis of 19 patients with low vision,diabetic retinopathy were found with seven patients (7.1％),glaucomatous nerve atrophy was six patients (6.1％),refractive error was five patients after correction (5.1％),myopic chorioretinal denaturation was one case (1.0％).Meanwhile,with patients aged more than 65 years,combined with other diseases,the use of antibiotics more than five days and tissue damage occurred,the incidence of patients with low vision increased(x2 =9.146,4.499,9.062,26.518,respectively;P ＜ 0.05).Conclusions The phacoemulsification and implant surgery of intraocular leas is helpful to improve vision with good effect.Older than 65 years,combined with other diseases,the use of antibiotics more than five days and tissue damage occurred,are risk factors for low vision.
