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目的探究玻璃体切除治疗增殖型糖尿病视网膜病变的围术期护理。方法选取本院2013年1月~2015年12收治的97例增殖型糖尿病视网膜病变患者,全部患者均行玻璃体切除治疗,同步实施围术期护理干预,观察术后恢复情况及并发症。结果 34例视力≤0.05,比例35.1%,50例患者视力0.05~0.10,比例51.6%,13例视力≥0.10,比例为13.4%。13例患者术后眼内压高,应用眼压药物治疗后恢复。空腹血糖控制在8.3 mmol/L以下92例,比例为94.8%,术后复诊均未出现严重并发症。结论应用玻璃体切除术治疗增殖型糖尿病视网膜病变实施术前术后的护理干预,改善了患者的视力,有效控制了血糖与并发症,提高了治疗效果。
Objective To investigate the perioperative nursing care of proliferative diabetic retinopathy by vitrectomy. Methods A total of 97 patients with proliferative diabetic retinopathy who were treated in our hospital from January 2013 to December 2015 were enrolled in this study. All patients underwent vitrectomy. Perioperative nursing interventions were performed simultaneously. Postoperative recovery and complications were observed. Results 34 cases of visual acuity ≤ 0.05, the proportion of 35.1%, 50 cases of visual acuity 0.05 ~ 0.10, the proportion of 51.6%, 13 cases of visual acuity ≥ 0.10, a ratio of 13.4%. Thirteen patients had high intraocular pressure after operation, and recovered after intraocular pressure treatment. Fasting blood glucose control in 8.3 mmol / L following 92 cases, the ratio was 94.8%, postoperative follow-up no serious complications. Conclusion The application of vitrectomy in the treatment of proliferative diabetic retinopathy preoperative and postoperative nursing intervention to improve the patient’s vision, effective control of blood glucose and complications, improve the therapeutic effect.