CAJ | 학술논문

目的：探究儿童白内障摘除人工晶体植入术后临床护理干预对改善患者视功能的影响。方法选择我院2012年1月至2015年1月采用人工晶体植入术治疗儿童白内障患者共58例(110眼)作为研究对象，随机将患者分为对照组29例(56眼)与研究组29例(54眼)。对照组采用常规术后护理干预，研究组采用综合护理干预。比较两组的BCVA检查结果以及视功能改善情况。结果研究组患者视力介于0.3~0.5以及视力＞0.5的比例高于对照组，研究组患者视力＜0.05以及视力介于0.05~0.1的比例低于对照组，差异均具有统计学意义(P＜0.05)。研究组视功能显著优于对照组，差异具有统计学意义(P＜0.05)。结论采用人工晶状体植入术治疗儿童白内障具有显著疗效，术后实施综合临床护理干预可以有效改善患者的视功能恢复情况，对治疗效果具有积极影响。
목적：탐구인동백내장적제인공정체식입술후림상호리간예대개선환자시공능적영향。방법선택아원2012년1월지2015년1월채용인공정체식입술치료인동백내장환자공58례(110안)작위연구대상，수궤장환자분위대조조29례(56안)여연구조29례(54안)。대조조채용상규술후호리간예，연구조채용종합호리간예。비교량조적BCVA검사결과이급시공능개선정황。결과연구조환자시력개우0.3~0.5이급시력＞0.5적비례고우대조조，연구조환자시력＜0.05이급시력개우0.05~0.1적비례저우대조조，차이균구유통계학의의(P＜0.05)。연구조시공능현저우우대조조，차이구유통계학의의(P＜0.05)。결론채용인공정상체식입술치료인동백내장구유현저료효，술후실시종합림상호리간예가이유효개선환자적시공능회복정황，대치료효과구유적겁영향。
Objective To explore the effect of clinical nursing intervention on improving visual function of children with cataract after intraocular lens implantation. Methods 58 cases (110 eyes) of children with cataract implemented intraocular lens implantation in our hospital from January 2012 to January 2015 were selected and randomly divided into control group (29 cases, 56 eyes) and study group (29 cases, 54 eyes). The control group was given conventional postoperative nursing, the study group was given comprehensive nursing intervention. The inspection results of BCVA and improvement of visual function of two groups were compared. Results The percentage of eyesight from 0.3 to 0.5 and eyesight>0.5 of study group were higher than those of control group, the percentage of eyesight <0.05 and eyesight from 0.05 ~ 0.1 of study group were lower than those of control group, all the difference was statistical (P <0.05). The visual function of study group was significantly better than that of control group, with statistical difference (P<0.05). Conclusions Intraocular lens implantation has significant effect in the treatment of children with cataract. Postoperative clinical nursing intervention can effectively improve the visual function of patients, which has positive influence on the therapeutic effect.