摘要
目的探讨早产儿视网膜病变(ROP)激光光凝术后不良反应及原因，为采取有效的临床护理措施预防ROP激光光凝术后不良反应提供依据。方法回顾性分析2008年10月～2013年10月行激光光凝术患儿171例，统计术后各种不良反应类型，分析其原因，并总结护理经验。结果光凝术后113例患儿无不良反应(66.1%)，58例患儿出现不良反应(33.9%)，不良反应包括面色苍白27例(46.6%)，呼吸暂停3例(5.2%)，消化道出血1例(1.6%)，急性结膜炎8例(13.8)，角膜水肿10例(17.2%)，虹膜灼伤7例(12.1%)，晶状体浑浊2例(3.5%)。结论面色苍白、角膜水肿、急性结膜炎、虹膜灼伤、呼吸暂停均为激光光凝术后常见的不良反应。全面、优质护理可以保证激光光凝手术顺利完成，减少术后不良反应。
Abstract
Objective To study the cause and variety of side effects after laser photocoagulation for retinopathy of prematurity(ROP) infants and to provide effective nursing basis for preventing the side effects. Methods To investigate the cause and variety of the side effects and summarize nursing experience ,the clinical data of 171 ROP infants from October 2008 to October 2013 were retrospectively analyzed. Results 113(66.1%) infants had no side effect after laser photocoagulation,but 58(33.9%) infants had side effect including pale(27 infants, 46.6%),apnea(3 infants,5.2%),gastrointestinal hemorrhage(1 infants,1.6%), acute conjunctivitis(8 infants,13.8%),corneal edema(10 infants,17.2%),iris burn(7 infants ,12.1%) and lenticular opacities(2 infants,3.5%).Conclusions pale,corneal edema,acute conjunctivitis,iris burns and apnea are the most common side effects after laser photocoagulation. Comprehensive,high-quality nursing can ensure the success of laser photocoagulation and decrease the side effect of laser photocoagulation.
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