摘要
目的探讨眼科头位架应用于视网膜脱离患者保持有效体位的效果。方法选择2016年1月至2017年12月收治的140例视网膜脱离行玻璃体切除联合硅油填充术治疗的患者为观察对象，随机分为对照组和观察组，对照组采用常规护理，观察组在常规护理的基础上采用眼科头位架，观察比较两组患者有效体位保持时间及舒适度。结果观察组有效体位保持时间术后第1、2、3天分别为（17．36±1．82）h、（17．21±1．46）h、（16．98±0．95）h，而对照组分别为（1409±2．54）h、（14．30±2．36）h、（14．49±2．39）h，两组比较差异有统计学意义（p均〈0．01）；观察组有明显颈肩腰背酸痛及胸闷憋气的分别为18例、6例，而对照组依次为34例、28例，两组比较差异有统计学意义（P均〈0.01）。结论视网膜脱离术后患者应用眼科头位架，能够延长有效体位保持时间，减轻患者不适。
Objective To analyze effects of the postural nursing care using ophthalmic head frame on patients after vitrectomy with intraocular silicon oil tamponade for retinal detachment. Methods 140 cases from Jan.2016 to Dec.2017, with retinal detachment who underwent vitrectomy with intraocular silicon oil tamponade, were collected and randomly divided into control group （ n=71 ） and observation group （ n=69 ） . The control group was given conventional care the observation group was given ophthalmic head frame with conventional care. The period time of correct body position after surgery and the patient＇ s satisfaction were observed and compared. Results The period time （ hour ） of correct body position after surgeryon 1st, 2nd, 3rd day for both groups are （17.36± 1.82 ） vs （14.09 ± 2.54 ） , （17.21±1.46）vs（14.30±2.36）and（16.98±0.95）vs （ 14.49 ±2.39 ） （P〈0.01） .There were 34 cases of backaches and 28 cases of chest distress in the control group. In contrast, the number was fewer in the observation group （ 18, 6 ） . The difference between two groups was statistically significant （ P〈0.01 ） . Conelusion Using ophthalmic head frame could significandy extend the duration of postoperative correct body position, and decrease postoperative discomfort for patients after vitrectomy with intraocular silicon oil tamponade.
出处
《浙江临床医学》
2018年第6期1144-1145,共2页
Zhejiang Clinical Medical Journal
基金
浙江省医药卫生科技计划项目（2013KYA017）
关键词
眼科头位架
视网膜脱离
体位护理
Ophthalmic head frame
vitrectomy postural nursing
