关键词: 一次性洗眼包, 受水器, 结膜囊冲洗

Abstract:   Objective To solve the problems of poor patient experience and comfort during ophthalmic conjunctival sac irrigation and cumbersome processes when using traditional water receivers, and to improve the efficiency of healthcare professionals. Design Randomized controlled clinical trial. Participants 106 patients who underwent laser keratoconus refractive surgery from April to July 2019 at the Refractive Surgery Clinical Center. Methods The 106 patients were divided into 53 cases each in the experimental group and the control group using the randomized numerical table method. The experimental group used the self-designed disposable eyewash bag for conjunctival sac irrigation, and the control group used the traditional stainless-steel funnel-type aqueous humor. The time required for conjunctival sac irrigation was recorded for both groups, and a self-designed questionnaire was used to investigate the satisfaction of the patients of the two groups as well as the preparation of the objects, the restraint of the head position, the pouring of liquid, and the adjustment of instruments by the medical staff during the operation. Main Outcome Measures Conjunctival sac irrigation operation time, patient satisfaction, ease of operation. Results The operation time of conjunctival sac rinsing in the experimental group was 120 (117.5, 139.5) seconds, which was significantly shorter than that of (177.58±25.38) seconds in the control group (U=106.50, P<0.001). In the patient satisfaction survey, the number of patients in the experimental group with no limb mobility limitation accounted for 75.47%, which was significantly more than the 43.37% in the control group (?字2=15.42, P<0.001); the number of patients in the test group who needed their own or other people's help in fixing the recipient apparatus was 0, which was significantly less than the 100% in the control group (?字2=102.04, P<0.001); the number of people in the experimental group whose instruments fit the skin without discomfort was 75.47%, which was significantly higher than that of the control group, which was 39.62% (?字2=28.31, P<0.001); the number of people in the experimental group who had no leakage during operation was 84.91%, which was significantly higher than that of the control group, which was 37.74% (?字2=26.00, P<0.001). The number of people in the experimental group who needed preparation of supplies, head position restraint, repeated pouring of fluid, and adjustment of instruments during operation was 0, which was significantly less than 100% in the control group (?字2=36.1, P<0.001). Conclusion The self-designed disposable eyewash bag can improve the comfort of patients and the efficiency of healthcare personnel when applied to ophthalmic conjunctival sac irrigation, and it has certain value for clinical promotion and application. (Ophthalmol CHN, 2024, 33: 446-450)

Key words:  , disposable eye wash bag, bath basin, conjunctival sac wash