摘要
目的探讨眼部程序化护理对机械通气患者暴露性角膜炎的预防效果。方法收集217例昏迷或使用镇静剂，且机械通气≥24h的患者，分为观察组123例和对照组94例。观察组采取眼部清洁、涂红霉素眼膏脯氯霉素眼药水、眼睑按摩、橡胶片盖眼的程序化护理；对照组仅采用涂红霉素眼膏脯氯霉素眼药水和橡胶片盖眼的眼部护理。比较2组患者暴露性角膜炎的发生率。结果观察组暴露性角膜炎发生率（9．8％）显著低于对照组（30．1％），Χ^2=15．47，P〈0．01。结论眼部程序化护理可有效预防机械通气患者眼部的并发症，提高患者的舒适度。
Objective The aim of this study was to know the preventive effects about exposure keratitis for patients with mechanical ventilation by eyes-process nursing. Methods Selected 217 patients with over 24-bours mechanical ventilation, divided them into the observation group （123 cases） and control group （94 case＇s） randomly. Eyes-process nursing was used in the observation group, while the routine nursing cares were used in control group. Compared the incidence rate of exposure keratitis between the two groups. Results The incidence rate of exposure keratitis in the observation and control group was 9.8% and 30.1% respectively （Χ^2=15.47,P 〈0.01）, the difference between them was significant. Conclusion Eyes-process nursing pattern can effectively reduce the incidence rate of eyes complication for patients with mechanical ventilation, and then improve the comfort degree of them.
关键词
机械通气
暴露性角膜炎
护理
Mechanical ventilation
Exposure keratitis
Nursing
