810nm激光经巩膜睫状体光凝治疗难治性青光眼48例围术期护理.pdfVIP

2010 16 2 810 nm 48 (宁夏人民医院 宁夏银川 750011) 目的: 探讨 810 nm 激光经巩膜睫状体光凝治疗难治性青光眼患者围术 的护理方法方法: 对 48例( 48 眼) 难治性青光眼患者行 810 nm 激光经巩膜睫状体光凝术, 并给予精心围术 护理结果: 本组无光感者 20眼, 12眼 经一次光凝术后眼压低于 40 mm H g( 1mm H g= 0. 133 kPa) , 7眼经 2次光凝术后眼压低于 40 mm H g, 1眼经 3 次光凝 术后眼压低于 40 mm H g; 光感及以上者 28眼, 15眼经一次光凝术后眼压为 5~ 21 mm H g, 13眼行 2次或 3次光凝术及 滴眼液滴眼后眼压可控制在 21mm H g结论: 810 nm 激光经巩膜睫状体光凝治疗难治性青光眼相对安全简便有效, 可 缓解眼痛保存眼球, 做好围术 护理是手术成功的关键 810 nm 激光; 经巩膜睫状体光凝术; 难治性青光眼; 围术 护理 : R47377 : A : 1006- 7256( 2010) 02- 0023- 02 Pe riope ra tvi e nurs ing care in the trea tm ent o f 48 pa tients w ith re fracto ry g al ucoma by transsc lera l cyc lopho tocoag ula tion w ith 810nm lase r J ia Q in (N ingx ia P eop le sH o sp ita,l Y inchuan N ingx ia 750011, Ch ina) A b stract Obj ctiv : T o xp lor th p riop rativ nursingm thod in th tr atm nt of r fractory glaucom a by transscl ral cy- clophotocoagu lation w ith 810nm las r. M thods: 48 pati nts ( 48 y s) w ith r fractory glaucom aw r tr at d w ith transscl ral cy- clophotocoagu lation w ith 810nm las r and giv n car fu l p riop rativ nursing car . R su lts: No light p rc ption occurr d in 20 y s; intraocu lar pr ssur w as l ss than 40 mmH g in 12 y s ( 1 mm H g = 0. 133 kPa) aft r th first photocoagulation; it w as l ss than 40 mm H g in 7 y s aft r th s cond photocoagulation and itw as l ss than 40mmH g in on y aft r th th ird photocoag- u lation. Th r w as light p rc ption in 28 y s; th intraocu lar pr ssur w as 5 ~ 21mm H g in 15 y s aft r th first photocoagu- lation and th intraocular pr ssur was controll d at 2 1mmH g in 13 y s aft r th s cond or th third photocoagulation and y drops w r us d as w l.l Conclusion: Transscl ral cyclophotocoagu lation w ith 810nm las r for r fractory glaucom a is r lativ ly saf, smi pl and ff ctiv and it can r l