水胶体敷料联合小牛血去蛋白提取物眼用凝胶在ICU昏迷患者眼部 保护的应用效果
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李丹(1989.11-),女,陕西榆林人,本科,护理师,主要从事眼科优质护理和新型医疗器械研发

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Application Effect of Hydrocolloid Wound Dressing Combined with Deproteinized Calf Blood Extract Eye Gel in Eye Protection of ICU Coma Patients
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    摘要:

    目的 分析水胶体敷料联合小牛血去蛋白提取物眼用凝胶在重症监护室(ICU)昏迷患者眼部 保护的应用效果。方法 选取2021年1月-12月我院外科ICU收治的中-重度昏迷患者40例(80眼),左眼为 对照组,右眼为试验组,对照组使用0.9%氯化钠纱布覆盖眼部,试验组使用小牛血去蛋白提取物眼用凝胶 滴眼后给予水胶体敷料覆盖眼部,比较两组眼睑闭合程度、角膜荧光素着染情况、角膜水肿情况、泪膜破 裂时间、眼红程度。结果 试验组眼睑闭合良好占比高于对照组,有着染和水肿占比低于对照组,差异有 统计学意义(P<0.05)。试验组眼红程度评分低于对照组,泪膜破裂时间长于对照组,差异有统计学意 义(P<0.05)。结论 水胶体敷料联合小牛血去蛋白提取物眼用凝胶在对昏迷患者眼部保护效果优于0.9% 氯化钠盐水纱布覆盖的传统方法,可以有效改善患者眼睑闭合情况,同时促进眼表修复,缓解患者角膜水 肿,减少角膜荧光素着染,同时改善患者眼红以及延长泪膜破裂时间。

    Abstract:

    Objective To analyze the application effect of hydrocolloid wound dressing combined with deproteinized calf blood extract eye gel in eye protection of coma patients in intensive care unit (ICU). Methods A total of 40 patients (80 eyes) with moderate to severe coma admitted to the Surgical ICU of our hospital from January to December 2021 were selected. The left eye was the control group, and the right eye was the experimental group. The control group was treated with 0.9% sodium chloride gauze covering the eye, the experimental group was treated with deproteinized calf blood extract eye gel and hydrocolloid wound dressing covering the eye. The eyelid closure, corneal fluorescein staining, corneal edema, tear film rupture time and eye red degree were compared between the two groups. Results The proportion of good eyelid closure in the experimental group was higher than that in the control group, and the proportion of cornea fluorescein staining and corneal edema in the experimental group was lower than that in the control group, and the difference was statistically significant (P<0.05). The conjunctival congestion level the experimental group was lower than that of the control group, and the tear break-up time was longer than that of the control group, with significant difference (P<0.05). Conclusion Hydrocolloid wound dressing combined with deproteinized calf blood extract eye gel is superior to the traditional method of 0.9% sodium chloride gauze covering in the eye protection of coma patients, which can effectively improve the eyelid closure, promote the repair of ocular surface, alleviate corneal edema, reduce corneal fluorescein staining, improve conjunctival congestion level and prolong tear break-up time.

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李 丹,张秀丽,谭文君,等.水胶体敷料联合小牛血去蛋白提取物眼用凝胶在ICU昏迷患者眼部 保护的应用效果[J].医学美学美容,2022,31(3):87-90.

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  • 在线发布日期: 2022-08-29
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