眼科学报2025，Vol.40Issue(6)：437-445,9.DOI:10.12419/24090504
日间病房模式下行En-DCR的PANDO患者术后自我护理单中心回顾性分析
A single-center retrospective analysis of postoperative self-care in PANDO patients undergoing endoscopic nasal dacryocystorhinostomy(En-DCR)under the day-ward model
摘要
Abstract
Objective:To investigate postoperative self-care practices and evaluate the early outcomes of patients with Primary Acquired Nasolacrimal Duct Obstruction(PANDO)undergoing Endoscopic Dacryocystorhinostomy(En-DCR)in a day ward setting.Methods:90 PANDO patients who underwent En-DCR surgery at the Oculoplastic and Lacrimal Surgery day ward at Zhongshan Ophthalmic Center,Sun Yat-sen University,between November 2021 and August 2022,were enrolled in this study.All patients received standardized postoperative self-care instructions.At the one-month follow-up,a questionnaire survey was used to record patients' self-care adherence to self-care practices,postoperative discomfort symptoms,and assess surgical outcomes.Furthermore,the correlation between self-care factors and surgical outcomes/discomfort symptoms was explored.Results:A total of 90 eyes from 90 PANDO patients undergoing En-DCR were included.The overall surgical success rate at one month was 92.22％,comprising a cure rate of 65.56％and an improvement rate of 26.67％.Analysis of self-care practices related to surgical outcomes showed significantly better results in patients who adhered to nasal irrigation at least once daily(P=0.002),used prescribed nasal spray at least once daily(P=0.008),and avoided upper respiratory tract infections(P=0.047).Regarding postoperative discomfort,patients who performed nasal irrigation at least once daily(P=0.006)and had the lacrimal stent(tube)in situ(P=0.003)experienced significantly fewer symptoms.Furthermore,correlation analysis in stented patients indicated a positive correlation between stent discomfort and psychological burden(r=0.421,P＜0.001).Conclusion:In the day ward model,detailed self-care guidance provided by healthcare professionals for En-DCR patients contributes to postoperative recovery and ensures favorable surgical outcomes.Key instructions include performing nasal irrigation at least once daily,using anti-inflammatory nasal spray regularly,and preventing upper respiratory infections during the first postoperative month.Additionally,particular attention should be paid to localized discomfort in patients with lacrimal stents.Optimizing medication regimens for discomfort,utilizing internet-based nursing clinics or telephone follow-ups for guidance and psychological support are crucial to promote postoperative rehabilitation.关键词
鼻内镜下泪囊鼻腔吻合术/术后自我护理/日间病房/术后不适Key words
endoscopic dacryocystorhinostomy(En-DCR)/postoperative self-care/day ward/postoperative discomfort分类
医药卫生引用本文复制引用
刘云明,郑昕雨,肖丽霞,李水玲..日间病房模式下行En-DCR的PANDO患者术后自我护理单中心回顾性分析[J].眼科学报,2025,40(6):437-445,9.基金项目
广州市科技计划项目(2023A04J1756) （2023A04J1756）
中山眼科中心2024年研究生教育创新项目.This work was supported by Guangzhou Science and Technology Program Project(2023A04J1756)and 2024 Graduate Education Innovation Project of Zhongshan Ophthalmic Center. （2023A04J1756）
