中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2015年
10期
745-747
,共3页
黎冬梅%冯婷%秦媳秀%李柏坚%伍雪云%王建凤
黎鼕梅%馮婷%秦媳秀%李柏堅%伍雪雲%王建鳳
려동매%풍정%진식수%리백견%오설운%왕건봉
激光,准分子%角膜磨镶术,激光原位%结膜囊冲洗%微波加热%一次性输血器
激光,準分子%角膜磨鑲術,激光原位%結膜囊遲洗%微波加熱%一次性輸血器
격광,준분자%각막마양술,격광원위%결막낭충세%미파가열%일차성수혈기
Lasers,excimer%Keratomileusis,laser in situ%Conjunctival sac flushing%Microwave heating%Disposable blood transfusion device
目的 探讨微波加热结膜囊冲洗液联合一次性输血器在批量准分子激光原位角膜磨镶术(laser-assisted in situ keratomileusis,LASIK)术前结膜囊冲洗中的应用效果.方法 选择2013年2～8月在我院近视眼治疗中心行LASIK的健康近视患者150例,按手术日期将患者随机分为2组各75例,观察组采用微波加热冲洗液连接一次性输血器.对照组采用冲洗液置于热水中浸泡加热后连接一次性输液器.2组方法均应用于LASIK术前结膜囊冲洗液的加温和结膜囊冲洗,记录2组冲洗液加热所需时间及2组患者结膜囊冲洗的效果.结果 观察组和对照组加热5、10、15、20、25、30 ℃冲洗液水温至(36.0±1.0)℃所需时间分别为124、104、84、64、44、24 s和372、312、252、192、132、72 s;观察组和对照组结膜囊冲洗的效果比较:在操作配合、结膜充血、眼睑痉挛、眼部疼痛4项指标,2组比较差异无统计学意义;在泪脂沉积的观察指标上,2组比较差异有统计学意义(4例比15例,x2=7.292,P＜0.01).结论 用微波炉加热冲洗液联合一次性输血器进行结膜囊冲洗,提高了工作效率,提高了安全性、操作的可控性和冲洗效果,得到医护人员的一致认可和好评,值得推广应用.
目的 探討微波加熱結膜囊遲洗液聯閤一次性輸血器在批量準分子激光原位角膜磨鑲術(laser-assisted in situ keratomileusis,LASIK)術前結膜囊遲洗中的應用效果.方法 選擇2013年2～8月在我院近視眼治療中心行LASIK的健康近視患者150例,按手術日期將患者隨機分為2組各75例,觀察組採用微波加熱遲洗液連接一次性輸血器.對照組採用遲洗液置于熱水中浸泡加熱後連接一次性輸液器.2組方法均應用于LASIK術前結膜囊遲洗液的加溫和結膜囊遲洗,記錄2組遲洗液加熱所需時間及2組患者結膜囊遲洗的效果.結果 觀察組和對照組加熱5、10、15、20、25、30 ℃遲洗液水溫至(36.0±1.0)℃所需時間分彆為124、104、84、64、44、24 s和372、312、252、192、132、72 s;觀察組和對照組結膜囊遲洗的效果比較:在操作配閤、結膜充血、眼瞼痙攣、眼部疼痛4項指標,2組比較差異無統計學意義;在淚脂沉積的觀察指標上,2組比較差異有統計學意義(4例比15例,x2=7.292,P＜0.01).結論 用微波爐加熱遲洗液聯閤一次性輸血器進行結膜囊遲洗,提高瞭工作效率,提高瞭安全性、操作的可控性和遲洗效果,得到醫護人員的一緻認可和好評,值得推廣應用.
목적 탐토미파가열결막낭충세액연합일차성수혈기재비량준분자격광원위각막마양술(laser-assisted in situ keratomileusis,LASIK)술전결막낭충세중적응용효과.방법 선택2013년2～8월재아원근시안치료중심행LASIK적건강근시환자150례,안수술일기장환자수궤분위2조각75례,관찰조채용미파가열충세액련접일차성수혈기.대조조채용충세액치우열수중침포가열후련접일차성수액기.2조방법균응용우LASIK술전결막낭충세액적가온화결막낭충세,기록2조충세액가열소수시간급2조환자결막낭충세적효과.결과 관찰조화대조조가열5、10、15、20、25、30 ℃충세액수온지(36.0±1.0)℃소수시간분별위124、104、84、64、44、24 s화372、312、252、192、132、72 s;관찰조화대조조결막낭충세적효과비교:재조작배합、결막충혈、안검경련、안부동통4항지표,2조비교차이무통계학의의;재루지침적적관찰지표상,2조비교차이유통계학의의(4례비15례,x2=7.292,P＜0.01).결론 용미파로가열충세액연합일차성수혈기진행결막낭충세,제고료공작효솔,제고료안전성、조작적가공성화충세효과,득도의호인원적일치인가화호평,치득추엄응용.
Objective To determine the efficiency of microwave heating of the conjunctival sac flushing liquid combined with disposible blood transfusion device to prepare for laser-assisted in situ keratomileusis (LASIK).Methods A total of 150 healthy myopia patients undergoing LASIK in Myopia Treatment Center of our hospital from February to August 2013 were divided into two groups randomly according to operation date,75 patients in each group.The observation group used a microwave oven to heat the flushing liquid connected with a disposable blood transfusion device.The control group used a hot water bath to heat the flushing liquid,which was then connected to a disposable infusion device.The heated liquid by both methods was applied to conjunctival sac flushing before LASIK.The time required for liquid heating was recorded and the outcome of the conjunctival sac flushing was compared between the two groups.Results The time required by the observation group and the control group of heating flushing fluid from 5,10,15,20,25 and 30 ℃ to (36.0±1.0) ℃ was 124,104,84,64,44,24 s and 372,312,252,192,132,72 s,respectively.The conjunctival sac flushing effect comparison between the observation group and the control group was as follows:in four indicators such as the operation cooperation,conjunctiva congestion,spasm of eyelid,eye pain,there was no significant difference between two groups; for tear fat deposition,there was significant difference between two groups (4 cases vs.15 cases,x2=7.292,P ＜ 0.01).Conclusions Microwave heating of the conjunctival sac flushing liquid connected with a disposable blood transfusion device is efficient,safe and easy to operate.Therefore,it gains approvement and high opinion of medical workers and is worth being popularized in clinic.
