翼状胬肉术后患者应用角膜绷带镜的护理体会

Abstract

目的：探讨和评价翼状胬肉切除联合自体结膜移植术后患者应用角膜绷带镜、改善舒适度的护理方法。方法：选取64例翼状胬肉患者的64只患眼，胬肉侵入角巩膜缘内 ≥2 mm，均接受翼状胬肉切除联合自体结膜移植术，随机分为2组，每组32眼。A组术毕即刻佩戴博士伦纯视角膜绷带镜，B组为对照组，不佩戴绷带镜，两组均术后包扎1日后打开用药。术后用药两组相同。术后患者对不适症状(疼痛、异物感、畏光、流泪)进行自测评分。医生(非术者)对于角膜创面完全愈合情况天数进行对比。结果：A组术后不适症状评分均低于B组，差异均具有统计学意义(P < 0.01)。A组角膜创面上皮全部愈合时间为3.6 ± 0.7天，B组角膜创面上皮全部愈合时间为5.8 ± 0.8天，差距具有统计学意义(P < 0.01)。A组患者佩戴角膜绷带镜期间未发现不良反应。结论：角膜绷带镜对于翼状胬肉术后患者可显著缓解术后不适症状，促进角膜创面愈合。 Objective: To explore and evaluate the nursing methods of using corneal bandage lens for patients, whose pterygiums were excised and combined with autogenous conjunctival transplantation. Method: 64 eyes with pterygium of 64 patients were selected. The pterygium invaded corneoscleral limbus more than or equal to 2 mm. These patients underwent pterygium excision combined with autologous conjunctival transplantation and then were divided into 2 groups; each group consisted of 32 eyes. Group A worn Bausch & Lomb pure optic corneal bandage lens immediately after surgery; Group B, as control group, didn’t wear a bandage contact lens. The two groups were bandaged for 1 month after surgery, and began to use medicine after removing the bandage. The two groups used the same medicine. The patients gave a score for the postoperative symptoms (pain, foreign body sensation, photophobia, tears). The days to complete healing of the corneal wound were compared by doctors (not the surgeons). Result: The postoperative discomfort symptom scores of group A were lower than those of group B, and the difference was statistically significant (P < 0.01). In group A, the corneal wound healing time was 3.6 ± 0.7 days, while the time in group B was 5.8 ± 0.8 days. The difference was statistically significant (P < 0.01). No adverse reactions were found in patients of group A who were wearing bandage lenses. Conclusion: Bandage contact lens for patients after pterygium surgery can significantly relieve postoperative discomfort and promote corneal wound healing.