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快速康复理念护理在翼状胬肉手术患者中的应用效果

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目的:观察快速康复理念护理在翼状胬肉手术患者中的应用效果.方法:回顾性分析 2020 年 3 月至 2023 年 1 月在该院行手术治疗的 60 例翼状胬肉患者的临床资料,根据护理方式不同将其分为对照组和观察组,每组 30 例.对照组采用常规护理,观察组在此基础上采用快速康复理念护理.比较两组伤口愈合时间、住院时间、角膜上皮愈合评分、术后各时点疼痛程度评分和不适感评分.结果:观察组住院时间、伤口愈合时间均短于对照组,角膜上皮愈合评分低于对照组;观察组术后 1、7 d时疼痛程度评分均低于对照组;观察组术后刺激感、自发流泪、刺痛感、睁眼困难、灼烧感不适感评分均低于对照组,差异有统计学意义(P<0.05).结论:在常规护理基础上采用快速康复理念护理,可降低角膜上皮愈合评分、疼痛程度评分和不适感评分,并可缩短住院时间和伤口愈合时间,其护理效果优于单纯常规护理效果.
Application effects of fast track surgery concept nursing in patients with pterygium surgeries
Objective:To observe application effects of fast track surgery concept nursing in patients with pterygium surgeries.Methods:The clinical data of 60 patients with pterygium who underwent surgical treatment in this hospital from March 2020 to January 2023 were retrospectively analyzed.According to different nursing methods,they were divided into control group and observation group,30 cases in each group.The control group was treated with routine nursing,while the observation group was treated with fast track surgery concept nursing on this basis.The wound healing time,the hospitalization time,the corneal epithelial healing score,and the pain score and the discomfort score at each time point after the surgery were compared between the two groups.Results:The hospitalization time and the wound healing time of the observation group were shorter than those of the control group;the corneal epithelial healing score was lower than that of the control group;the pain scores of the observation group were lower than those of the control group 1 and 7 d after the surgery;the scores of postoperative irritation,spontaneous tears,tingling,difficulty in opening eyes and burning discomfort in the observation group were lower than those in the control group;and the above differences were statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the fast track surgery concept nursing can reduce the corneal epithelial healing scores,the pain degree scores and the discomfort scores,and shorten the hospitalization time and the wound healing time.Moreover,it is superior to single routine nursing.

PterygiumSurgeryFast track surgery concept nursingCorneal epitheliumHealingPain

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商丘市第四人民医院眼科,河南 商丘 476100

翼状胬肉 手术 快速康复理念护理 角膜上皮 愈合 疼痛

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(4)
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