To analyze the preventive effect of comprehensive nursing on conjunctival chemosis in patients undergoing gynecological laparoscopic surgery
综合护理对妇科腹腔镜手术患者眼球结膜水肿的预防效果分析

摘要

目的 探讨围术期综合护理对预防妇科腹腔镜手术患者眼球结膜水肿的具体效果。方法 于2021年3月~2024年3月时间段，选取医院妇瘤科实施腹腔镜手术的患者为研究对象，共110例。随机法分组，55例仅接受围术期常规护理的患者列入对照组，另55例接受围术期预防护理的患者列入试验组。比较两组不同时间点的眼压水平、眼球结膜水肿发生率及护理满意度。结果 两组T1的眼压水平对比，无显著差异（P＞0.05）；试验组T2、T3、T4的眼压水平均明显低于对照组（P＜0.05）。试验组在腹腔镜手术后的眼球结膜水肿发生率（7.27%）明显低于对照组（27.27%）（P＜0.05）。结论 对妇科腹腔镜手术患者术前采取综合护理，可有效改善眼压水平、降低眼球结膜水肿发生率，患者的满意度较高，值得推广。

Abstract

Objective To explore the specific effect of perioperative comprehensive nursing on the prevention of conjunctival chemosis in patients with gynecological laparoscopic surgery.
Methods From March, 2021 to March, 2024, a total of 110 patients who underwent laparoscopic surgery in the Department of Gynecological Oncology of our hospital were selected as the research objects. Fifty-five patients who only received perioperative routine nursing were included in the control group, and the other 55 patients who received perioperative preventive nursing were included in the experimental group. The intraocular pressure level, incidence of conjunctival chemosis, comfort and nursing satisfaction were compared between the two groups at different time points.
Results There was no significant difference in IOP level between the two groups at T1 (P > 0.05). The intraocular pressure levels at T2, T3 and T4 in the experimental group were significantly lower than those in the control group (P < 0.05). The incidence of conjunctival chemosis after laparoscopic surgery in the experimental group (7.27%) was significantly lower than that in the control group (27.27%) (P < 0.05).
Conclusion   Preoperative comprehensive nursing for patients with gynecological laparoscopic surgery can effectively improve the intraocular pressure level, reduce the incidence of conjunctival chemosis, and the satisfaction of patients is high, which is worthy of promotion.