摘要
目的 探讨影响婴幼儿泪囊炎泪道冲洗探通疗效的相关因素及护理对策。 方法 对264例318眼婴幼儿泪囊炎患儿进行泪道冲洗探通治疗,观察其总体疗效,采用单因素相关分析及多因素Logistic回归分析对与疗效相关的8个因素如小儿年龄,病史长短,症状严重程度,护士操作熟练程度,家长配合程度,用药依从性,配合手法按摩,治疗方式等进行分析。分析各因素对疗效的影响。 结果 318眼泪道阻塞及泪囊炎患儿行泪道冲洗及探通治疗,总有效率为90.56%。单因素分析结果显示影响疗效的单个因素在治疗方式(χ^2=88.984,P<0.01)、症状严重程度(χ^2=14.185,P<0.05)、病史长短(χ^2=18.738,P<0.05)及手法按摩(χ^2=10.081,P<0.05)4个因素差异有统计学意义,多因素Logistic回归分析结果显示治疗方式(3次治疗治愈P=0.000、OR=0.148、95%CI 0.052-0.419;4次治疗治愈P=0.001、OR=0.022、95%CI 0.002-0.203)和有无手法按摩(1次治疗治愈P=0.012、OR=3.390、95%CI 1.309-8.777;2次治疗治愈P=0.009、OR=4.285、95%CI 1.445-12.710)是影响婴幼儿泪道冲洗探通疗效的独立影响因素。 结论 在影响婴幼儿泪囊炎泪道冲洗探通疗效的相关因素中不同治疗方式、手法按摩是独立影响因素,对临床护理有一定的指导意义。
Objective To explore the related factors and clinical significance of the effect of irrigation on infant with dacryocystitis. Methods A total of 318 eyes of 262 infant were treated with dacryocystitis, and their overall curative effect was observed. Single factor correlation analysis and multivariate Logistic regression were used to analyze 8 factors related to efficacy, such as age of children, length of medical history, severity of symptoms, degree of operation of nurses, degree of parental cooperation, compliance with medication, massage therapy and treatment methods. The effect of each factor on the curative effect. Results It was found that the total effective rate was 90.56 percent of the lacrimal passage in children with 318 tear channel obstruction and dacryocystitis.Single factor analysis results show that the factors influencing the curative effect of single in treatment (χ^2= 88.984, P < 0.01), symptom severity (χ^2=14.185,P < 0.05) length of history (χ^2=18.783, P < 0.05) difference and massage therapy (χ^2=10.081, P < 0.05) was statistically significant, the three factors of multiariable Logistic regression analysis results showed that the treatment (P=0.000, OR=0.148,95% CI 0.052-0.419) and massage therapy (P=0.012, OR=3.390, 95% CI 1.309-8.777) affected infant lacrimal duct flushing out main factors influencing the efficacy of tong. Conclusions The main influencing factors are the different treatment modalities, severity of symptoms the length of medical history and massage therapy in the related factors that affect the effect of infantwith dacryocystitis.
作者
陈艳琼
蔡丽逢
刘晓俊
刘冬情
吕红玲
沈宇
葛倩筠
Chen Yanqiong;Cai Lifeng;Liu Xiaojun;Liu Dongqing;Lyu Hongling;Shen Yu;Ge Qianyun(Department of Ophthalmology,the Second People's Hospital of Foshan,Foshan 528000,China)
出处
《中国实用护理杂志》
2019年第2期108-114,共7页
Chinese Journal of Practical Nursing
基金
佛山市科技局自筹经费类科技计划项目(2016AB002991)
佛山市高水平医学重点专科(FSGSPZD135020)
佛山市国家卫计委级医学重点专科培育项目(Fspy1-2015005).
