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目的探讨飞秒激光辅助白内障手术的护理配合技巧,以提高护理配合技术,降低手术风险。方法选择本院2013年4月~2014年10月白内障患者950眼进行飞秒激光辅助白内障手术,并按照手术要求实施护理配合,术前组织护士学习并掌握手术配合技巧、飞秒激光机正常操作程序及维护知识,并对患者进行个性化心理护理;术中根据飞秒激光的特点制定熟练、有效、有序、合理规范的护理配合方案,严密观察患者病情,确保手术顺利进行。结果 950只眼均顺利完成手术,手术过程中主要并发症有:结膜下出血、角膜上皮剥脱、术中瞳孔缩小、撕囊偏中心、前囊撕裂、前囊截开不完整、角膜切口偏位。术后无眼内炎、角膜内皮失代偿、视网膜脱离、青光眼等严重并发症。结论准确、默契、周密的手术护理配合以及对新仪器设备性能的了解与熟练操作,不仅是飞秒激光辅助白内障手术的安全保障基础,而且有助于手术医生缩短学习曲线,减少或避免手术并发症。
Objective To explore the nursing cooperation skills of femtosecond laser-assisted cataract surgery in order to improve the nursing cooperation technology and reduce the operation risk. Methods 950 patients with cataract from April 2013 to October 2014 in our hospital were selected for cataract assisted by femtosecond laser and cataract surgery was performed in accordance with the requirements of operation. Nurses in preoperative nurses studied and mastered the skills of operation and operation of femtosecond laser machine. Procedures and maintenance of knowledge, and patients with personalized psychological care; intraoperative based on the characteristics of femtosecond laser to develop skilled, effective, orderly and reasonable care and cooperation programs, closely observe the patient’s condition, to ensure the smooth operation. Results All of the 950 eyes underwent successful surgery. The main complications during the operation were subconjunctival hemorrhage, corneal epithelial exfoliation, intraoperative ciliary degeneration, partial capsulorhexis, anterior capsulotomy, incomplete anterior capsulotomy and partial kyphotic incision Bit. No endophthalmitis after surgery, corneal endothelial decompensation, retinal detachment, glaucoma and other serious complications. Conclusions Accurate, tacit understanding, meticulous surgical care and understanding of the performance of new instruments and equipment and skilled operation are not only the basis for the safety of femtosecond laser-assisted cataract surgery, but also help the surgeon to shorten the learning curve and reduce or avoid the operation complications disease.