目的:探讨在急性闭角型青光眼患者护理中实施心理护理干预的方法及临床效果;方法:从我院2012年3月至2014年3月收治的急性闭角型青光跟患者中选取80例为研究对象,经随机数字表法分为观察组40例,对照组40例,对照组行常规护理,观察组在对照组基础上实施心理护理,观察两组患者心理状况及护理满意度;结果:两组患者护理干预前SAS评分无明显差异(P＞0.05),护理干预后观察组SAS评分同对照组比较明显较低(P＜0.05);观察组患者满意率为95.00％,同对照组80.00％比较,显著较高,差异存在统计学意义(P＜0.05);结论:对于急性闭角型青光眼患者,实施心理护理干预,能有效改善患者情绪状况,提高患者满意度及依从性,利于患者恢复,应广泛运用.
AIM:To compare the efficacy of phacoemulsification and phacoemulsification combined with improved goniosynechialysis for angle-closure glaucoma with cataract.METHODS: Eighty-four patients of angle-closure glaucoma with cataract were randomly divided into two groups, one was given cataract phacoemulsification treatment, the other was given cataract phacoemulsification combined with goniosynechialysis. Intraocular pressure(IOP), best corrected visual acuity, anterior chamber depth, anterior chamber angle width and pupil size were measured before or after the operation.RESULTS: All cases' IOP was reduced obviously after the operation, and there was a significant difference between the preoperation and postoperation(P<0.05). Eighty-three eyes were improved in visual acuity, 1 eye was not improved. Anterior chamber depth and anterior chamber angle width after the operation were increased compared with those before operation. Compared with the control group, visual acuity and central anterior chamber depth was no significant difference in the observation group. IOP was controlled more effectively in the observation group, and anterior chamber angle width was increased obviously.CONCLUSION: Phacoemulsification combined with improved goniosynechialysis is an effective therapy for angle-closure glaucoma with cataract. it can effectively reduce IOP and increase anterior chamber angle width.
Objective To investigate ocular trauma secondary glaucoma clinical presentation,treatment,treatment and care experience,reduce complications,reduce intraocular pressure.Methods The hospital in January 2012~January 2014 were treated 78 cases of 78 patients with secondary glaucoma and ocular trauma were reviewed,analysis,statistics,for al patients with preoperative and postoperative care and at entive,with clinical doctor for treatment,can achieve the purpose of early rehabilitation.Results In this study,78 patients with conservative treatment or surgery,intraocular pressure normal (10~21mmHg) 61 eyes;IOP>21mmHg were 17.Conclusion Ocular trauma causes secondary glaucoma complicated,should address the dif erent causes of timely treatment and ef ective care,the protection of visual function in patients with a positive meaning.
<正>原发性开角型青光眼是指不伴有眼部或全身疾病引起的其他眼部改变,在前房角始终开放的情况下,眼压升高引起视乳头萎缩和视野缺损的一种眼病。其特征是两眼中至少一眼的眼压持续≥21 mm Hg;房角是开放的,并具有正常外观;眼底存在特征性青光眼视网膜视神经和(或)视野损害,没有与眼压升高相关的病因性眼部或全身其他异
<正>患者男性,41岁。工作时火药意外爆炸,伤及右眼部。查体:右眼视力光感,角膜混浊、水肿,前房深,前房内积血约6 mm,瞳孔散大,对光反应消失,晶状体混浊,余窥不清。眼压右眼7 mm Hg,左眼12 mm Hg。眼科B型超声:右眼球形态正常,上方球壁前见带状中强回声隆起,其后为无回声区,眶周组织未见明显异常。入院诊断为:右眼炸伤、右眼前房积血,给以消炎、止血、双眼包扎及半卧位等处理。前房积血吸收后行超声生物显微镜检查提示(图1):右眼前房中央深
目的分析患者存在的主要护理安全隐患及相关因素,提出有效管理对策。方法规范工作流程,加强规范化训练,抓好护理人员的安全教育,排除隐患,提高护理质量。结果护理不安全因素管理措施的有效落实,最大限度的消除了护理不安全性。结论护理安全管理制度化、标准化、规范化,切实以病人利益出发,为病人提供安全、放心、满意的全程优质服务。
