中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2013年
5期
53-54,55
,共3页
蒋华章%王莉%李银喜
蔣華章%王莉%李銀喜
장화장%왕리%리은희
球后麻醉%球筋膜下麻醉%小梁切除术%高眼压
毬後痳醉%毬觔膜下痳醉%小樑切除術%高眼壓
구후마취%구근막하마취%소량절제술%고안압
Retrobulbar anesthesia%Sub-Tenon,s anesthesia%Trabeculectomy%Flap%Persistent high intraocular pressure
目的:探讨球筋膜下麻醉进行复合式小梁切除术治疗高眼压下的青光眼临床效果。方法我院连续收入院的50例60眼青光眼患者分为观察组和对照组。观察组25眼:球筋膜下麻醉进行复合式小梁切除术治疗青光眼;对照组35眼:球后麻醉小梁切除术治疗青光眼,观察患者合作度,眼压。结果球筋膜下麻醉组有89.2%的合作度,球后麻醉组有88.2%的患者合作比较好或非常好合作度,两组比较差异无统计学意义(P>0.05)。两组术前眼压相似差异无统计学意义(P>0.05),术后6个月眼压:观察组(11.42±5.16)mmHg,对照组(14.12±3.24)mmHg,差异有统计学意义(P<0.05)。眼压≤21mmHg为标准,观察组的完全成功率为96%,条件成功率为100%。对照组完全成功率为74.3%,条件成功率为80%,两组比较差异有统计学意义(P<0.05)。结论持续高眼压状态下的青光眼行球筋膜下麻醉的复合式小梁切除术是安全和有效的。在用药24~48h,仍然持续高眼压状态的病例应尽早进行手术治疗。
目的:探討毬觔膜下痳醉進行複閤式小樑切除術治療高眼壓下的青光眼臨床效果。方法我院連續收入院的50例60眼青光眼患者分為觀察組和對照組。觀察組25眼:毬觔膜下痳醉進行複閤式小樑切除術治療青光眼;對照組35眼:毬後痳醉小樑切除術治療青光眼,觀察患者閤作度,眼壓。結果毬觔膜下痳醉組有89.2%的閤作度,毬後痳醉組有88.2%的患者閤作比較好或非常好閤作度,兩組比較差異無統計學意義(P>0.05)。兩組術前眼壓相似差異無統計學意義(P>0.05),術後6箇月眼壓:觀察組(11.42±5.16)mmHg,對照組(14.12±3.24)mmHg,差異有統計學意義(P<0.05)。眼壓≤21mmHg為標準,觀察組的完全成功率為96%,條件成功率為100%。對照組完全成功率為74.3%,條件成功率為80%,兩組比較差異有統計學意義(P<0.05)。結論持續高眼壓狀態下的青光眼行毬觔膜下痳醉的複閤式小樑切除術是安全和有效的。在用藥24~48h,仍然持續高眼壓狀態的病例應儘早進行手術治療。
목적:탐토구근막하마취진행복합식소량절제술치료고안압하적청광안림상효과。방법아원련속수입원적50례60안청광안환자분위관찰조화대조조。관찰조25안:구근막하마취진행복합식소량절제술치료청광안;대조조35안:구후마취소량절제술치료청광안,관찰환자합작도,안압。결과구근막하마취조유89.2%적합작도,구후마취조유88.2%적환자합작비교호혹비상호합작도,량조비교차이무통계학의의(P>0.05)。량조술전안압상사차이무통계학의의(P>0.05),술후6개월안압:관찰조(11.42±5.16)mmHg,대조조(14.12±3.24)mmHg,차이유통계학의의(P<0.05)。안압≤21mmHg위표준,관찰조적완전성공솔위96%,조건성공솔위100%。대조조완전성공솔위74.3%,조건성공솔위80%,량조비교차이유통계학의의(P<0.05)。결론지속고안압상태하적청광안행구근막하마취적복합식소량절제술시안전화유효적。재용약24~48h,잉연지속고안압상태적병례응진조진행수술치료。
?Objective?To investigate the clinical effect of combined trabeculetomy to treat glaucoma under sub-Tenon,s anesthesia. Methods 50 consecutive patients who received the glaucoma surgery patient were received sub-Tenon,s anesthesia(observe group of 25 cases)or retrobulbar anesthesiar(control group of 35 cases)before the surgery. The patient were asked to grade their cooperation. Result Intraocular pressure(IOP)before treatment in both groups their similar(P>0.05).Mean IOP 6 months after treatment was (11.42±5.16)mmHg in observe group and(14.12±3.24)mmHg?in(control group which is significantly different(P<0.05).The success rate(IOP lower than 21mmHg)was 96% in eyes with li sub-Tenon’s anesthesia versus 74.3% in eyes with retrobulbar anesthesiar which was not significantly different(P<0.05).Conclusion Combined trabeculectomy is efective and safe for glaucoma with persistent high intraocular pressure.