中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2011年
12期
902-904
,共3页
汪向利%严兰凤%马建军%刘小英
汪嚮利%嚴蘭鳳%馬建軍%劉小英
왕향리%엄란봉%마건군%류소영
眼外伤%糖尿病%角膜上皮%疼痛程度
眼外傷%糖尿病%角膜上皮%疼痛程度
안외상%당뇨병%각막상피%동통정도
Eye injury%Diabetes mellitus%Corneal epithelium%Pain score
目的 对玻璃体切除术中刮除角膜上皮的3类人群的术后疼痛程度进行比较.方法 对玻璃体切除术中必须刮除角膜上皮的眼外伤18例(18眼)、糖尿病23例(23眼)、无眼外伤无全身病者20例(20眼)在术后4h、8h、12 h、24h用视觉模拟评分法(VAS)进行术后疼痛程度的比较.结果 术后4h眼外伤患者平均疼痛评分为5.51±2.13,糖尿病患者为3.96±2.42,无眼外伤及全身病者平均疼痛评分为4.73±2.53,差异有统计学意义；术后12 h分别为4.82±2.16、3.30±2.12和4.35±2.48,差异有统计学意义；术后24h分别为4.16±2.32、3.11±2.04和3.85±2.36,差异无统计学意义.结论 刮除角膜上皮的3个组中,术后12 h以内,眼外伤组和无眼外伤及全身病组疼痛明显强于糖尿病组,术后24h及48 h3组疼痛程度无明显差异.
目的 對玻璃體切除術中颳除角膜上皮的3類人群的術後疼痛程度進行比較.方法 對玻璃體切除術中必鬚颳除角膜上皮的眼外傷18例(18眼)、糖尿病23例(23眼)、無眼外傷無全身病者20例(20眼)在術後4h、8h、12 h、24h用視覺模擬評分法(VAS)進行術後疼痛程度的比較.結果 術後4h眼外傷患者平均疼痛評分為5.51±2.13,糖尿病患者為3.96±2.42,無眼外傷及全身病者平均疼痛評分為4.73±2.53,差異有統計學意義；術後12 h分彆為4.82±2.16、3.30±2.12和4.35±2.48,差異有統計學意義；術後24h分彆為4.16±2.32、3.11±2.04和3.85±2.36,差異無統計學意義.結論 颳除角膜上皮的3箇組中,術後12 h以內,眼外傷組和無眼外傷及全身病組疼痛明顯彊于糖尿病組,術後24h及48 h3組疼痛程度無明顯差異.
목적 대파리체절제술중괄제각막상피적3류인군적술후동통정도진행비교.방법 대파리체절제술중필수괄제각막상피적안외상18례(18안)、당뇨병23례(23안)、무안외상무전신병자20례(20안)재술후4h、8h、12 h、24h용시각모의평분법(VAS)진행술후동통정도적비교.결과 술후4h안외상환자평균동통평분위5.51±2.13,당뇨병환자위3.96±2.42,무안외상급전신병자평균동통평분위4.73±2.53,차이유통계학의의；술후12 h분별위4.82±2.16、3.30±2.12화4.35±2.48,차이유통계학의의；술후24h분별위4.16±2.32、3.11±2.04화3.85±2.36,차이무통계학의의.결론 괄제각막상피적3개조중,술후12 h이내,안외상조화무안외상급전신병조동통명현강우당뇨병조,술후24h급48 h3조동통정도무명현차이.
Objective To observe and assess post-vitrectomy pain of three groups patients with epicorneal removal.Methods Patients with corneal epithelium removal in vitrectomy surgery were asked pain responses with visual analog scale(VAS) in the different postoperative time.The three groups included 18cases of ocular injury,23 cases of diabetic retinopathy and 20 patients without eye injury or general disease.Those items were analysed in 4 h,8 h,12 h and 24 h after surgery.Results The mean post-operative pain score was (5.51 ± 2.13 ) 4 h after surgery in ocular injury group,(3.96 ± 2.42 ) in diabetic retinopathy group,and (4.73 ±2.53) in the group of without ocuar injury or general diseases.There were statistical significace between each other in the three groups.It was (4.82 ± 2.16),(3.30 ± 2.12) and (4.35 ±2.48) respectively in the three groups 12 h after surgery.And statistical significance was identified.It was (4.16 ± 2.32),(3.11 ± 2.04 ) and (3.85 ± 2.36) 24 hours after surgery,the difference have no statistial significant.Conclusion After corneal epithelium removal,the pain of patients with eye injury and patients without eye injury or general disease are worse than diabetic patients before 12 hours postoperatively,but they have no difference after 24 hours.
