[目的]评价治疗性抚触对缓解开放性眼外伤病人术中疼痛的作用.[方法]根据手术日期,将102例在我科行眼外伤清创缝合术病人随机分为实验组和对照组,对照组52例给予常规护理,实验组50例术中接受护士实施的治疗性抚触,手术结束时对疼痛进行评估.[结果]实验组较对照组术中疼痛程度明显减轻,差异有统计学意义(P<0.05).[结论]治疗性抚触可以缓解开放性眼外伤病人术中疼痛,有利于手术顺利进行.

Objective To study the application of Moria-2 auto-carriago-barraguer microkeratome in LASIK.Methods LASIK was performed for 367 eyes(187 patients) using Moria-2 auto-carriago-barraguer microkeratome.Results The best corrected visual acuity was achieved in 360(98.1%) out of the 367 eyes after LASIK.The intra-operative complication rate of corneal flaps(free flap,thin broken flap and different thick flaps of 3 eyes,respectively) was 1.4%.No ingrown of epithelium was observed in corneal flaps after LASIK.However,desert-like reaction occurred in the corneal layer of 2 eyes.There was a statistical difference in absorbing time(seconds) between the first absorbing ring and the knife(19.4±3.1)s and vice versa(16.6±2.7)s(t=3.469,P=0.001).Conclusion Moria-2 auto-carriago-barraguer microkeratome is easy to operate and high in safety,and therefore can be used in LASIK.

目的探讨手术患者的心理沟通及护理。方法对965例手术患者术前、术中和术后的心理状态进行调查,根据不同的心理需要实施相应的心理护理。结果所有患者顺利完成手术,术后恢复良好。结论不同的患者有特殊的心理问题及需要,做好手术患者的心理护理,使患者在良好的心理状态下接受手术治疗,对术后康复有着十分重要的意义。

Objective To study the effects of laser in situ keratomileusis (LASIK) on tear film function following soft contact lens wear. Methods In this prospective trial, a total of 60 patients (240 myopic eyes) who had undergone LASIK were divided into two groups:a control group that had never worn contact lenses before the operation and a test group that had worn contact lenses at least two years before the operation. Schirmer I test (SIt) and tear break-up time (BUT) measurements were taken before the operation and 1 week, 1 month and 3 months after the operation. Results The respective SIt values before the operation and 1 week, 1 month and 3 months after the operation were (18.13±7.48)mm, (14.20±7.81)mm, (16.76±7.38)mm, (17.24±8.06)mm for the control group and were (14.77±8.49)mm, (9.88±7.50)mm, (13.09±8.23)mm, (13.90±7.87)mm for the test group. The test group had lower SIt values compared to the control group (preoperation t=2.304, P=0.023; 1 week t=3.088, P=0.003; 1 month t=2.507, P=0.014; and 3 months t=2.155, P=0.033). SIt values were lower at 1 week postoperatively (P0.05). The respective BUT values for the control group before the operation and 1 week, 1 month and 3 months after the operation were (13.21±7.20)s, (7.14±3.97)s, (9.86±3.97)s, and (12.31±5.83)s. The BUT values were lower at 1 week and 1 month postoperatively (P0.05). The respective BUT values for the test group before the operation and 1 week, 1 month and 3 months after operation were (8.98±4.36)s, (4.68±2.85)s, (6.37±3.03)s, and (8.19±3.61)s. The BUT values were lower at 1 week, 1 month and 3 months compared to the preoperative value (P0.05). The test group had lower values compared to the control group for both SIt and BUT (preoperation t=3.894, P0.001; 1 week t=3.905, P0.001; 1 month t=5.257, P0.001; 3 months t=4.356, P0.001) (P0.05). Conclusion Patients who wear soft contact lenses before LASIK experience more changes in tear film function after LASIK than those who had never worn contact lenses. They have a greater need for artificial tears after the operation.

随着医学发展的日新月异,护理模式的不断转变,对护士的整体素质有了更高的要求,因为护理工作的实践性很强.所以培训的主要途径之一是实践,而开展整体护理后普遍存在护理人员不足,如果送护理人员到上级医院进修仅能针对个别护士,也只能选个别专科,不利于整体发展.为此,我们有了护士院内进修的想法,经过2年多的实践,收到了预期效果.

目的:了解泉州地区小学生视力发育的基本情况,探讨预防控制措施。方法:对2005年泉州市某小学视力测量结果进行分析。结果:儿童视力异常的发生与性别、年龄等因素有一定关系。结论:必须采取一系列切实可行的综合性预防措施,做好儿童的眼保健工作。

儿童斜视不仅美观受损,而且会引起弱视,导致双眼视功能不同程度地破坏.绝大多数患儿需要通过手术,才能恢复其双眼视觉和纠正美观.因此,斜视围手术期护理一直为眼科护理工作者所关注,而术前检查和术中、术后护理是影响手术效果的关键.我院近5年来对84例儿童斜视进行围手术期的护理,取得良好效果,现报告如下.