青光眼专业护理干预对AHMED阀门植入术的临床疗效
The Clinical Effect of Professional Nursing Intervention on Ahmed Glaucoma Valve Implantation
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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.
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关键词:
- 新生血管性青光眼 /
- Ahmed阀门植入术 /
- 效果 /
- 并发症
Abstract: 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.-
Key words:
- Neovascular glaucoma /
- Ahmed valve implantation surgery /
- Effects /
- Complications
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[1] 刘家琦, 李凤鸣.实用眼科学第3版[M].北京:人民卫生出版社, 2016:387. [2]李丽萍.LUCENTIS联合Ahmed青光眼引流阀治疗新生血管性青光眼16例[J].昆明医科大学学报, 2015, 36 (7) :112-114. [3]赵光金.丝裂霉素联合可拆缝线治疗难治性青光眼[A].浙江省医学会眼科学分会.2011年浙江省眼科学术会议论文集[C].浙江省医学会眼科学分会:浙江省科学技术协会, 2011:1. [4]文瑾, 白惠玲, 严兰凤, 等.Ahmed阀门植入治疗难治性青光眼术后并发症的临床分析[J].甘肃医药, 2014, 33 (8) :614-616. [5]谈文斌, 宋良玲.青光眼阀门植入术治疗新生血管性青光眼的探讨[J].中国民族民间医药, 2013, 22 (14) :112. [6]陈书扬, 邝国平, 朱俊东, 等.可调节缝线在Ahmed青光眼阀植入术治疗新生血管性青光眼的临床应用[J].临床眼科杂志, 2015, 23 (02) :150-151. [7]王瑞夫, 李霞, 高晓唯, 等杰.Ahmed青光眼阀植入术联合前部玻璃体切除治疗新生血管性青光眼[J].国际眼科杂志, 2009, 9 (12) :344-345. [8]毛平安, 贾砚文, 谢阳, 等.Ahmed引流阀植入治疗晚期新生血管性青光眼的疗效[J].国际眼科杂志, 2013, 13 (09) :1820-1821. [9]蒋伟鹏, 卢珊珊, 金益.视网膜光凝术联合雷珠单抗治疗新生血管青光眼的临床研究[J].国际眼科杂志, 2015, 15 (10) :1763-1765. [10] [10]MOLTENO A C, BEVIN T H, HERBISON P.et al.Long term resultds of primary trabeculectomies and Molteno implants for primary open-angle glaucoma[J].Arch Ophthalmol, 2011, 129 (11) :1444-1450. [11]韩冬梅, 邹粤丽, 范敏等.自体封闭式巩膜引流和Ahmed阀植入术治疗难治性青光眼疗效比较[J].中国实用眼科杂志, 2013, 31 (12) :1602-1604.
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