目的:探讨老年视网膜脱离患者术后疼痛原因及防治对策。方法:采用线性模拟标尺,对164例老年视网膜脱离手术患者计量疼痛程度。将164例患者分为A,B两组。A组:巩膜外环扎+垫压+视网膜冷凝术64例;B组:玻璃体切除+视网膜复位术100例。B组又分为注气组62例和注硅油组38例。结果:不同手术方式术后疼痛的发生有显著差异性(χ2=6.211,P<0.05),疼痛程度也明显不同,B组术后疼痛率和疼痛程度明显高于A组。结论:老年视网膜脱离患者术后疼痛最常见原因为手术切口疼痛,眼压升高是引起中度以上疼痛的主要因素。

·AIM:To explore ache reasons of old patients after retinal reattachment surgery and nursing care measures.·METHODS:Ache degree was measured by linear marker in 164 old patients after retinal reattachment.164 cases were divided into A and B groups.Group A including 64 cases were treated with scleral buckle whereas group B including 100 cases treated with vitrectomy surgery.In group B,62 cases were with gas tamponade and 38 cases were with silicone oil tamponade postoperatively.·RESULTS:There was significant difference between two groups(χ2=6.211,P<0.05).The ache rate and ache degree of group B were much higher than those of group A.·CONCLUSION:The incision pain is the usual cause of ache in old patients with retinal reattachment surgery.High intraocular pressure is the main reason of moderate pain.·

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