双眼轮匝肌瓣法矫治先天性上睑下垂中的有效护理研究(1)
[摘要]目的：研究双眼轮匝肌瓣法矫治先天性上睑下垂中配合针对性护理的护理效果。方法：选取上海市第十人民医院整形科2016年7月-2017年5月收治的60例(95眼)先天性上睑下垂患者，随机抽签分成观察组及对照组，每组各30例。两组患者均进行双眼轮匝肌瓣法矫治先天性上睑下垂，对照组进行常规护理，观察组在常规护理的基础上联合针对性护理干预。比较两组患者护理后并发症发生情况、治疗依从性及护理满意度。结果：观察组患者总并发症发生率为8.00%显著低于对照组的53.33%，差异有统计学意义(P<0.05)。观察组治疗依从性评分及护理总满意率分别为(24.84±2.84)分、96.67%显著高于对照组的(20.67±2.72)分、76.67%，差异有统计学意义(P<0.05)。结论：先天性上睑下垂患者实施双眼轮匝肌瓣法配合针对性护理方法可进一步降低并发症发生率，提高患者的治疗依从性及护理满意度。
[关键词]双眼轮匝肌瓣法；先天性上睑下垂；针对性护理；治疗依从性
[中图分类号]R47 [文献标志码]B [文章编号]1008-6455(2018)11-0153-03
, 百拇医药
Abstract： Objective To study the nursing effect of binocular orbicularis muscle flap in the treatment of congenital ptosis. Methods From July 2016 to May 2017， 60 patients (95 eyes) with congenital blepharoptosis were selected and randomly divided into two groups： the observation group and the control group， 30 cases in each group. All patients were treated with binocular orbicularis muscle flap for congenital blepharoptosis， the control group was given routine nursing， and the observation group was combined with targeted nursing intervention on the basis of routine nursing. The complications， therapeutic compliance and nursing satisfaction were compared between the two groups. Results The total complication rate of the observation group was 8.00%， which was significantly lower than that of the control group (53.33%)， the difference was statistically significant(P<0.05). The treatment compliance score and the total satisfaction rate of nursing in the observation group were (24.84±2.84) and 96.67% respectively， which were significantly higher than those in the control group (20.67±2.72) and 76.67%， the differences were statistically significant(P<0.05). Conclusion The complication rate of the patients with ptosis can be further reduced by using the double eyelid muscle flap combined with the targeted nursing method in patients with congenital ptosis， which can further improve the compliance and nursing satisfaction of the patients.
, 百拇医药
Key words： bilateral orbicularis muscle flap； congenital ptosis； targeted nursing； treatment compliance
先天性上睑下垂是一种常见的眼科疾病，是提上睑肌先天性缺乏、发育不良或支配提上睑肌的中枢及周围神经发育不良等导致上眼睑出现功能障碍，其临床表现为眼内肌肉性麻痹等症状[1-2]。上睑下垂不仅对患者的外观造成影响，而且对其身心健康具有损害性作用[3]。此外，上睑下垂会严重影响患者的视觉发育，形成剥脱性弱视，严重影响患者正常生活以及心理发展。目前，临床上常通过手术来治疗先天性上睑下垂[4]。但是，术后易发生并发症，如矫正过度、继发性血肿形成以及暴露性角膜炎等，严重影响患者临床治疗效果[5-6]。因而，针对患者术后并发症进行有效护理具有重要意义。相关研究报道指出，双眼轮匝肌瓣法治疗上睑下垂具有较好的效果，再进一步联合针对性护理方法，其临床疗效显著[7-8]。基于此，本文选取60例先天性上睑下垂行双眼轮匝肌瓣法矫治术的患者，对其术后的并发症及护理效果进行分析。现报道如下。
, 百拇医药
1 资料和方法
1.1 临床资料：选取上海市第十人民医院整形科2016年7月-2017年5月收治的先天性上睑下垂患者60例(95眼)为研究对象。纳入标准：①均同意实验并签订实验知情同意书；②经专业医生检查，患者均为先天性上睑下垂。排除标准：①其他白内障等眼部疾病；②严重器官疾病；③严重精神疾病。随机分成观察组30例(50只眼)及对照组30例(45只眼)。觀察组：男18例，女12例；年龄16～77岁，平均年龄(46.5±3.05)岁；单眼下垂10例，双眼下垂20例；重度上睑下垂17例，中度上睑下垂13例。对照组：男21例，女9例；年龄20～75岁，平均年龄(47.5±2.75)岁；单眼下垂15例，双眼下垂15例；重度上睑下垂19例，中度上睑下垂11例。两组性别、年龄及上睑下垂程度等资料比较，差异无统计学意义(P>0.05)，有可比性。本研究经医院伦理委员会同意施行。, 百拇医药(施培霞 金晓红)
[关键词]双眼轮匝肌瓣法；先天性上睑下垂；针对性护理；治疗依从性
[中图分类号]R47 [文献标志码]B [文章编号]1008-6455(2018)11-0153-03
, 百拇医药
Abstract： Objective To study the nursing effect of binocular orbicularis muscle flap in the treatment of congenital ptosis. Methods From July 2016 to May 2017， 60 patients (95 eyes) with congenital blepharoptosis were selected and randomly divided into two groups： the observation group and the control group， 30 cases in each group. All patients were treated with binocular orbicularis muscle flap for congenital blepharoptosis， the control group was given routine nursing， and the observation group was combined with targeted nursing intervention on the basis of routine nursing. The complications， therapeutic compliance and nursing satisfaction were compared between the two groups. Results The total complication rate of the observation group was 8.00%， which was significantly lower than that of the control group (53.33%)， the difference was statistically significant(P<0.05). The treatment compliance score and the total satisfaction rate of nursing in the observation group were (24.84±2.84) and 96.67% respectively， which were significantly higher than those in the control group (20.67±2.72) and 76.67%， the differences were statistically significant(P<0.05). Conclusion The complication rate of the patients with ptosis can be further reduced by using the double eyelid muscle flap combined with the targeted nursing method in patients with congenital ptosis， which can further improve the compliance and nursing satisfaction of the patients.
, 百拇医药
Key words： bilateral orbicularis muscle flap； congenital ptosis； targeted nursing； treatment compliance
先天性上睑下垂是一种常见的眼科疾病，是提上睑肌先天性缺乏、发育不良或支配提上睑肌的中枢及周围神经发育不良等导致上眼睑出现功能障碍，其临床表现为眼内肌肉性麻痹等症状[1-2]。上睑下垂不仅对患者的外观造成影响，而且对其身心健康具有损害性作用[3]。此外，上睑下垂会严重影响患者的视觉发育，形成剥脱性弱视，严重影响患者正常生活以及心理发展。目前，临床上常通过手术来治疗先天性上睑下垂[4]。但是，术后易发生并发症，如矫正过度、继发性血肿形成以及暴露性角膜炎等，严重影响患者临床治疗效果[5-6]。因而，针对患者术后并发症进行有效护理具有重要意义。相关研究报道指出，双眼轮匝肌瓣法治疗上睑下垂具有较好的效果，再进一步联合针对性护理方法，其临床疗效显著[7-8]。基于此，本文选取60例先天性上睑下垂行双眼轮匝肌瓣法矫治术的患者，对其术后的并发症及护理效果进行分析。现报道如下。
, 百拇医药
1 资料和方法
1.1 临床资料：选取上海市第十人民医院整形科2016年7月-2017年5月收治的先天性上睑下垂患者60例(95眼)为研究对象。纳入标准：①均同意实验并签订实验知情同意书；②经专业医生检查，患者均为先天性上睑下垂。排除标准：①其他白内障等眼部疾病；②严重器官疾病；③严重精神疾病。随机分成观察组30例(50只眼)及对照组30例(45只眼)。觀察组：男18例，女12例；年龄16～77岁，平均年龄(46.5±3.05)岁；单眼下垂10例，双眼下垂20例；重度上睑下垂17例，中度上睑下垂13例。对照组：男21例，女9例；年龄20～75岁，平均年龄(47.5±2.75)岁；单眼下垂15例，双眼下垂15例；重度上睑下垂19例，中度上睑下垂11例。两组性别、年龄及上睑下垂程度等资料比较，差异无统计学意义(P>0.05)，有可比性。本研究经医院伦理委员会同意施行。, 百拇医药(施培霞 金晓红)
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