目的:探讨玻璃体腔注射avastin联合复合式小梁切除术治疗新生血管性青光眼(neovascular glaucoma,NVG)患者的疗效和护理方法。方法:对24例NVG患者行玻璃体腔注射avastin联合复合式小梁切除术。术前对患者进行了心理护理,使患者消除紧张、恐惧的心理,树立战胜疾病的信心。同时做好术前、术后护理及健康指导。结果:患者心理状态稳定,能够很好地配合治疗和护理。患者能掌握一般的青光眼护理知识和护理技巧。结论:玻璃体腔注射avastin联合复合式小梁切除术,是治疗NVG的有效方法,同时也给护理提出了新的问题。术前做好患者的心理护理、术前指导,术后密切观察患者眼部情况,加强患者术后护理、健康指导,可为手术成功提供保证。

AIM:To investigate medical treatment and nursing of neovascular glaucoma(NVG) patients treated by intravitreous injection of Avastin combined with trabeculectomy and mitomycin C(MMC).METHODS: Twenty-four patients with angle-closure NVG were treated by intravitreous injection of Avastin combined with trabeculectomy and MMC. Psychological nursing was offered which could eliminate tention and fear of patients, build their confidence of conquering disease. Meanwhile, preoperative nursing, postopreative nursing as well as health guidances were also provided.RESULTS:Stable psychological situations were achieved in all patients which cooperated with medical treatment and nursing well, general NVG nursing knowledges and skills were acquired at the same time.CONCLUSION:Intravitreous injection of Avastin combined with trabeculectomy and MMC is effective on NVG treatment,which also brings new problem for nursing. Successful operations are guaranteed by psychological nursing and preoperative guidances, postopreative careful observation on visual situations as well as health guidances.

R779.6