非頭面部全身麻醉手術病人角膜損傷現(xiàn)狀及其影響因素

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Status quo of corneal injury in patients undergoing non -head/facial general anesthesia surgery and its influencing factors

HAN Wenjuan，WANG Lei，WANG Lumeng，CHEN Yulu，HE Wei，LI Hua，ZENG Qinya，SONG Caiping* TheSecond Affiliated Hospital ofArmy Medical University，Chongqing 40oo37China *Corresponding Author SONG Caiping，E-mail： scp1974@163.com

AbstractObjective：Toinvestigatethestatusquoofcoealinjuryinpatientsundergoingnon-head/facialgeneralanesthesiasurgery andtoaalyzitsifluencingfactorsMethod：Atotalof3patintsundergoingonad/facialgenralanestesiasurgeratatertay gradeAhospitalioggieseledassdysubetsbratfpingmdfrMarchtlyDtweeouiga generalinforatioestioiftitsandgicalelatedfctouestoiefoalijurioeadfcialgealstia patients.Teealjausofeasulsoghieeolr an incidence rate of 21.8% .The result of multivariate analysis showed that preoperative eye care measures were protective factors for corneal injury in these patients（ P<0.05 ）.However，incomplete eyelid closure （visible conjunctiva and cornea） before or after surgery， preoperative or intraoperative use of atropine，and tallr body height were risk factors for corneal injury（ P<0.05 ）.Conclusions： The ncienceofcoealinjuryinpatientsundergoingnonhead/facialgeneralanesthesiasurgerywasrelatielyhigh.Preoperativeeye caremeasuresdgreeofeyelidosurebforeoftersurgerypreoperativeotraoperativeuseftropiendodyeightereifueing factorsofcoealinjuryMedicalstaffshouldcloselymonitorpatients'corealconditions，implementperioperativeeyecaremeasures， prevent corneal injuries，and improve both nursing quality and medical safety.

Keywordsnon-head/facial surgery; general anesthesia; corneal injury; nursing; influencing factors

角膜損傷（cornealinjury）為角膜上皮表面缺陷，主要表現(xiàn)為疼痛、視力模糊、眨眼或睜開眼睛時的不適、過度流淚、畏光（光敏感）、沙礫感和異物感等，若未及時處理甚至可能導致永久性失明的視網(wǎng)膜或視神經(jīng)嚴重疾病，是非眼部全身麻醉手術病人最常見的眼部并發(fā)癥之一[1-2]。（剩余9956字）