|
|
|
| Effect of different eye massage nursing methods on intraocular pressure and success rate of glaucoma after trabeculectomy |
| ZHANG Ting1 JIN Wen1 ZHAO Di2▲ |
1.Operating Room, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China;
2.Department of Endocrinology, the First Affiliated Hospital of Zhengzhou University, He′nan Province, Zhengzhou 450052, China |
|
|
|
Abstract Objective To explore the influence of different eye massage nursing methods on intraocular pressure and success rate of glaucoma patients after trabeculectomy. Methods A total of 50 cases of glaucoma patients treated with trabeculectomy in Beijing Chaoyang Hospital, Capital Medical University from January 2017 to December 2018 were selected as the subjects, they were divided into study group and control group by random allocation method, with 25 cases (25 eyes) in each group. The study group self-received eye massage and the control group family members participated in assisting eye massage. After the intervention, the intraocular pressure and functional follicular formation of the two groups were compared. At 90 days after the operation, the compliance of patients of the two groups to the nursing behavior were followed up in the form of investigation scale. Results The intraocular pressure of the study group was significantly reduced on 90 days after operation compared with that at discharge (P ＜ 0.05). The intraocular pressure of the control group was significantly higher on 90 days after the operation (P ＜ 0.05). The intraocular pressure of the study group was significantly lower than that of the control group at 90 days after surgery (P ＜ 0.05). The nursing compliance of the study group was higher than that of the control group at 90 days after operation (P ＜ 0.05). The formation of functional filtration vesicles at 90 days after operation in the study group was significantly higher than that in the control group, and the success rate of operation was higher than that in the control group (P ＜ 0.05). Conclusion In the nursing work of eye massage after trabeculectomy for glaucoma patients, the patients′ own eye massage treatment method compliance is higher, and the postoperative success rate of the patients using this method is higher.
|
|
|
|
|
|
[1] 刘励，林胤，陈本安，等.原发性闭角型青光眼小梁切除术后行白内障超声乳化联合房角分离术的疗效分析[J].东南国防医药，2017，19（1）：51-53.
[2] 李朝辉.针刺分离联合氟尿嘧啶治疗青光眼小梁切除术后无功能滤过泡疗效观察[J].新乡医学院学报，2016，33（8）：698-700.
[3] 胡玉玲，白朵峰，窦嬗嬗.持续性高眼压状态下青光眼小梁切除术的围手术期护理[J].中国老年保健医学，2016， 14（3）：112-113.
[4] 刘华，赵婧姝，曹巍.眼球不同按摩护理方式对青光眼患者小梁切除术后眼压及手术成功率的影响[J].护理进修杂志，2015，29（10）：872-874.
[5] 刘秋垣.眼球按摩对青光眼小梁切除术后眼压的影响[J].内蒙古中医药，2017，36（2）：129.
[6] 刘小庆，胡军华，朱慧娟，等.UBM检查对青光眼术后滤过泡形态与眼压关系的临床观察[J].中国当代医药，2017（26）：93-95.
[7] Sanchez I，Martin R. Advances in diagnostic applications for monitoring intraocular pressure in Glaucoma：A review [J]. J Optom，2019，12（4）：211-221.
[8] 杨文慧，韩琪，陈松，等.超声乳化白内障吸除术对小梁切除术后原发性闭角型青光眼患者眼压的影响[J].中华眼科杂志，2016，52（2）：104-109.
[9] 汪迎，陈霞琳.超声乳化吸除联合人工晶体植入术治疗白内障患者前房渗出发生率的影响因素分析[J].中国医药导报，2019，16（3）：97-100.
[10] Rui BS，Abe RY，Tavares CM，et al. Intraocular Pressure Control after Implantation of an Ahmed Glaucoma Valve in Eyes with a Failed Trabeculectomy [J]. J Curr Glaucoma Pract，2016，10（3）：97-103.
[11] Wasielica-Poslednik J，Schmeisser J，Hoffmann EM，et al. Fluctuation of intraocular pressure in glaucoma patients before and after trabeculectomy with mitomycin C [J]. PLoS One，2017，12（10）：e0185246.
[12] Tojo N，Abe S，Miyakoshi M，et al. Comparison of intraocular pressure fluctuations before and after ab interno trabeculectomy in pseudoexfoliation glaucoma patients [J]. Clin Ophthalmol，2017，14（11）：1667-1675.
[13] Yakin M，Eksioglu U，Yalnizakkaya Z，et al. Outcomes of Trabeculectomy and Glaucoma Drainage Devices for Elevated Intraocular Pressure After Penetrating Keratoplasty [J]. Cornea，2018，37（6）：705-711.
[14] Esfandiari H，Pakravan M，Loewen NA，et al. Predictive value of early postoperative IOP and bleb morphology in Mitomycin-C augmented trabeculectomy [J]. F1000 Res，2017，6：1898.
[15] 胡婷，王英，余春柳，等.眼球按摩护理对预防小梁切除术患者术后功能性滤泡形成及控制眼压的效果[J].临床护理杂志，2018（3）：19-21.
[16] 俞密花.青光眼小梁切除术后眼球按摩配合眼周穴位按摩护理效果分析[J].当代护士：下旬刊，2017，24（11）：74-76.
[17] 赵晓旭，张莹莹，潘虹，等.老年干眼症患者采取眼部穴位按摩结合刮痧疗法的护理体会[J].中国医药科学，2018， 8（16）：115-117.
[18] 谭振琴，卢彩霞，谭叶辉，等.眼球按摩在原发性闭角型青光眼复式小梁切除术后护理中的应用[J].岭南急诊医学杂志，2018，23（2）：193-194，204.
[19] 李宏，陈铁红.睑板腺按摩治疗睑板腺功能障碍型干眼的疗效观察[J].航空航天医学杂志，2017，28（1）：89-91.
[20] 王慧，郭霞.睑板按摩方法用于睑板腺功能异常护理过程的临床效果分析[J].中外医学研究，2018，16（6）：88-89.
[21] 徐颖，巩丹慧，赵欣，等.综合护理干预用于青光眼合并白内障超声乳化人工晶体植入术围手术期的效果[J].中国现代医生，2018，56（7）：154-156.
[22] 杜坤悦之.补肾明目汤联合水蒸气加热仪及眼睑按摩治疗睑板腺功能障碍伴干眼疗效及其对泪液中IL-1Ra、fractalkine/CX3CL1水平的影响[J].陕西中医，2017， 38（12）：1747-1749.
[23] 许晓梅，王艳茹，王小东.眼睑热敷、按摩联合人工泪液治疗干眼症30例[J].陕西医学杂志，2012，41（6）：751-752.
[24] 李桂华，刘新英，杨烈莹，等.延续性护理在青光眼患者中的应用研究[J].中国现代医生，2018，56（18）：133-135. |
|
|
|
