摘要
目的探讨Ahmed阀门植入术治疗新生血管性青光眼的临床疗效及安全性.方法回顾性分析2015年5月至2017年5月上海交通大学医学院附属仁济医院院眼科收治的78例新生血管性青光眼患者临床资料,随机分为研究组和对照组,2组均行Ahmed青光眼阀门植入手术,研究组在此基础上配合给予血管性青光眼专业护理干预,比较2组手术前后眼压及临床疗效.结果研究组手术成功率87.5%;对照组手术成功率84.2%,2组对比差异无统计学意义(P>0.05).2组术后随访平均眼压较术前均明显降低(P<0.01),但2组术后平均眼压对比差异无统计学意义(P>0.05).研究组并发症3例,并发症发生率为10.0%;对照组10例,并发症发生率为26.3%,对比差异有统计学意义(P<0.05).结论 Ahmed阀门植入术治疗新生血管性青光眼疗效值得肯定,近期效果良好,并发症减少,远期不良反应多,配合针对性护理干预能一定程度减少远期并发症,是治疗青光眼的一种有效的方法.
Objective To discuss clinical effects and security of using Ahmed valve implantation surgery to cure neovascular glaucoma.Me thods The clinical data of 78 patients with neovascular glaucoma in the Department of Ophthalmology from May 2015 to May 2017 were collected and retrospectively analyzed. The patients were randomly divided into the research group and the control group. Both groups were treated with Ahmed valve implantation surgery. Patients in the research group were treated with the professional nursing intervention of neovascular glaucoma. The intraocular pressure（IOP） and clinical effects of both groups before and after treatment were compared.Re s ults The achievement ratio of operation in the research group and the control group was 87.5%and 84.2%, respectively. There was no statistical difference（P 〉0.05）. The post-operation follow-up showed that average IOP in both groups was obviously lower than that in pre-operation（P〈0.01）. But average post-operative IOP in both groups had no statistical difference（P〉0.05）. There were three patients with complications in the research group, showing 10.0% of complication ratio. There were 10 patients with complications in the control group, showing 26.3% of complication ratio, which was the statistically different（P 〈0.05）.Conclus ions The curative effects of using Ahmed valve implantation surgery to cure neovascular glaucoma should be affirmed. The operation shows good short-term effects and reduction of complications but more long-term effects.By coordinating with nursing interference, long-term complications can be reduced. Therefore, it is an effective method to cure glaucoma.
作者
万慧敏
周晴
WAN Hui-min;ZHOU Qin(Dept.of Ophthalmology,Renji Hospital Affiliated to Shanghai Jiaotong University,Shanghai 200127;Dept.of Infection Administration,The Second Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650101,China)
出处
《昆明医科大学学报》
CAS
2018年第6期140-143,共4页
Journal of Kunming Medical University
基金
上海市科委科研基金资助项目(16DZ1930105)
