论文部分内容阅读
目的通过分析眼外伤患者各相关因素,探讨眼外伤防治的有效的护理措施,提高伤后视力,降低眼外伤致残率。方法对84例住院眼外伤患者的性别、年龄、职业、受伤地点、外伤性质、致伤原因、就诊时间、并发症及后果等因素,进行统计分析,探讨眼外伤防治的方法及其意义。结果统计结果显示:男:女=5.12:1,右眼:左眼=1:1.08,多发年龄10～40岁,高峰年龄20～30岁。眼外伤占同期住院患者的20.87%,损伤年龄段以学龄前儿童、学生、青壮年为主。职业以学生、农民、无业人员为主。受伤地点多见于工作场所、家庭、公共环境;致伤性质主要为挫伤、穿孔伤;并发症最常见和较为重要的有葡萄膜炎、白内障、前房积血。就诊时间24h内35例(41.34%),24h以上49例(58.66%)。致出院裸眼视力低于0.05者34眼,占40.02%,眼球摘除者3眼,占3.06%,且就诊时间越晚致盲率越高。结论眼外伤是主要的致盲原因之一,从眼外伤的致伤人群及性质的分析中可知眼外伤都是可以预防的以及预防的重要的意义。针对眼外伤相关因素,采取预防、急救、健康教育一体化护理,可提高患者的自我防护意识,降低眼外伤发生率和视力残疾。
Objective To analyze the related factors of ocular trauma patients and discuss the effective nursing measures for the prevention and treatment of ocular trauma and improve the visual acuity after trauma and the morbidity of ocular trauma. Methods 84 cases of hospitalized traumatic eye injury in patients with gender, age, occupation, location of injury, traumatic nature, causes of injury, treatment time, complications and consequences of such factors as statistical analysis to explore the methods of ocular trauma prevention and its significance. The results of statistical results show: male: female = 5.12: 1, right eye: left eye = 1: 1.08, multiple age 10 to 40 years old, the peak age of 20 to 30 years old. Ocular trauma accounted for 20.87% of hospitalized patients in the same period, the age of injury to preschool children, students, young and middle-aged. Occupation of students, farmers, unemployed mainly. Injury sites more common in the workplace, family, public environment; injury mainly contusion, perforation injury; complications of the most common and more important are uveitis, cataracts, hyphema. There were 35 cases (41.34%) within 24 hours and 49 cases (58.66%) over 24h. The visual acuity of less than 0.05 in the uncorded eyes was 34.02% (40.02%), 3 eyes (3.06%) were enucleated, and the blindness rate was higher at the later time of the visit. Conclusion Ocular trauma is one of the main causes of blindness. From the analysis of the injured people and the nature of ocular trauma, we can see that ocular trauma is both preventable and preventable. For the related factors of ocular trauma, taking the integrated care of prevention, first aid and health education can raise the self-protection awareness of patients and reduce the incidence of ocular trauma and visual impairment.