目的:探讨玻璃体腔内注射Lucentis治疗老年黄斑变性(age-related macular degeneration,AMD)患者的护理。方法:对30例准备行Lucentis治疗的患者做术前心理护理,加强注射后并发症的观察,尤其是眼压监测。结果:AMD患者30例30眼中,末次随访视力提高21眼。注射后1h眼压升高4眼,眼压为20.1～24.6mmHg,未做特殊处理,术后1d眼压均正常。随访期间均未发现眼内炎等并发症。结论:加强AMD患者注射前、中、后护理,对确保该技术的治疗效果非常重要。

AIM:To explore the nursing care of intravitreal Lucentis injection to treat the patients withage-related macular degeneration(AMD).METHODS:Thirty patients(30 eyes) were diagnosed as AMD.They would be treated by intravitreal Lucentis injection.The preoperative psychological nursing was emphasized.Complications,especially intraocular pressure were observed.RESULTS:Twenty-one eyes were improved in visual acuity in all 30 eyes.The intraocular pressure(20.1-24.6mmHg) in 4 eyes were higher than preoperative,which was normal 24 hours later.No complications were observed in the follow-up.CONCLUSION:It is very important to enhance the peri-injection,mid-injection and post-injection nursing for assuring the treatment efficacy.

R473.77