护理研究2025，Vol.39Issue(14)：2351-2357,7.DOI:10.12102/j.issn.1009-6493.2025.14.005
非头面部全身麻醉手术病人角膜损伤现状及其影响因素
Status quo of corneal injury in patients undergoing non-head/facial general anesthesia surgery and its influencing factors
摘要
Abstract
Objective:To investigate the status quo of corneal injury in patients undergoing non-head/facial general anesthesia surgery and to analyze its influencing factors.Methods:A total of 413 patients undergoing non-head/facial general anesthesia surgery at a tertiary grade A hospital in Chongqing city were selected as the study subjects by stratified sampling method from March to July 2024.Data were collected using a general information questionnaire of patients and a surgical-related factors questionnaire for corneal injury in non-head/facial general anesthesia patients.The corneal injury status of these patients was assessed.Results:Among the 413 patients,90 cases developed corneal injuries,resulting in 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 taller body height were risk factors for corneal injury(P<0.05).Conclusions:The incidence of corneal injury in patients undergoing non-head/facial general anesthesia surgery was relatively high.Preoperative eye care measures,degree of eyelid closure before or after surgery,preoperative or intraoperative use of atropine,and body height were influencing factors of corneal injury.Medical staff should closely monitor patients' corneal conditions,implement perioperative eye care measures,prevent corneal injuries,and improve both nursing quality and medical safety.关键词
非头面部手术/全身麻醉/角膜损伤/护理/影响因素Key words
non-head/facial surgery/general anesthesia/corneal injury/nursing/influencing factors引用本文复制引用
韩文娟,王蕾,王露梦,陈雨露,何伟,李华,曾钦娅,宋彩萍..非头面部全身麻醉手术病人角膜损伤现状及其影响因素[J].护理研究,2025,39(14):2351-2357,7.基金项目
重庆英才创新领军人才项目(医学领域),编号:CQYC20200303156 （医学领域）
