应用玻璃体抽吸加小梁切除术治疗新生血管性青光眼患者的护理

　　【摘要】 目的：探讨玻璃体抽吸加小梁切除术治疗新生血管性青光眼患者的护理方法。方法：对35例(35只眼)新生血管性青光眼患者行玻璃体抽吸加小梁切除术治疗，重点对患者进行心理护理，做好术前、术后护理。结果：本组患者心理状态稳定，术后未发生严重的并发症，手术效果满意。结论：手术中直接抽吸玻璃体加小梁切除术，是治疗新生血管性青光眼的有效方法，加强患者术前、术后护理，术后密切观察并发症，及时采取相应的护理措施，可为手术成功提供保证。

　　【关键词】 玻璃体;抽吸术;青光眼;新生血管性;护理

　　The nursing method for neovasceela giaucoma patients who have accepted the vitreous body drawing a skill and trabecular removal operation

　　JIA Jun-ying

　　(The third affiliated hospital of Xinxiang medical college,Henan 456003,China)

　　【Abstract】 Objective:To study the nursing method for neovasceela giaucoma patients who have accepted the vitreo us body drawing a skill and trabecuar removal operation.Methods：We have chose 35 patients who have accepted the vitreous body drawing a skill and trabecular removal the nursing of patients’mental state and reoperative and postoperative come first and importantly.Results:The patients’mental state of this group are stability.There were no serious postoperative complication occurred and the effect is satisfied.Conclusion:Vseing the method of drawing vitreous body directly and trabecular removal method can make the levels of vascular endothelial growth factor in vitreous bady dedine which will piay an important role in regression or disapperaring of neovas aclar iris vessels.This is an effective cure to neovascular giaucoma patient.Strengthing the nursing of reoperation and postoperation,abserving the postoperative complication closely and adopting corresponding nursing measures,that can give seacrity to success of the operation.

　　【Key words】 Vitreous body;Drawing a skill;Glaucoma; Neovascular;Nursing

　　应用玻璃体穿刺抽吸加小梁切除术治疗新生血管性青光眼是近年来抗青光眼手术的一个重要进展。玻璃体穿刺抽吸加小梁切除术是使玻璃体中血管内皮生长因子浓度下降，促使虹膜新生血管明显减少或完全消退[1]，从而达到降低眼压的目的。与近年来Bartz等[2]采用玻璃体切割、视网膜睫状体光凝、硅油眼内填充等综合方法治疗新生血管性青光眼相比，玻璃体穿刺抽吸术具有方法简便、疗效更好等特点。2003年8月我科对35例新生血管性青光眼开展了这项新技术，手术效果满意，现将护理方法报告如下：

　　1 临床资料

　　1.1 一般资料

　　本组男20例，女15例，年龄35～68岁。其中，原发病为视网膜中央静脉阻塞18例，

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