国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2014年
2期
340-342
,共3页
表面麻醉%白内障摘除%人工晶状体植入%小切口%疼痛
錶麵痳醉%白內障摘除%人工晶狀體植入%小切口%疼痛
표면마취%백내장적제%인공정상체식입%소절구%동통
surface anaesthesia%cataract surgery%intraocular lens implantation%small incision%pain
目的:探讨小切口非超声乳化白内障囊外摘除联合人工晶状体植入手术中应用表面麻醉可行性和安全性。<br> 方法:于2010-09/12采用40g/L爱尔卡因表面麻醉,对92例96眼老年性白内障眼,行小切口手法白内障摘除联合人工晶状体植入术,观察其麻醉效果、术中、术后并发症和疗效。<br> 结果:在表面麻醉下,92例94眼能顺利完成小切口手法白内障囊外摘除联合人工晶状体植入手术。疼痛指数和术中眼球运动和眼睑痉挛的情况均在可耐受范围。95%患者表示满意。结膜下注射(50眼,52%)和固定上直肌(31眼,32%)是疼痛比较明显的两个环节,其次是烧灼巩膜血管(16眼,17%),转核及娩核(13眼,14%),巩膜隧道切口(12眼,12%),注吸黏弹剂(9眼,9%),植入人工晶状体(1眼,1%)。它们的疼痛差异有统计学意义(P<0.05)。<br> 结论:在农村地区进行白内障防盲时,采用有效的止痛措施后,小切口非超声乳化白内障囊外摘除联合人工晶状体植入手术中采用表面麻醉的方法,安全可行,可有效的提高白内障防盲的工作效率。
目的:探討小切口非超聲乳化白內障囊外摘除聯閤人工晶狀體植入手術中應用錶麵痳醉可行性和安全性。<br> 方法:于2010-09/12採用40g/L愛爾卡因錶麵痳醉,對92例96眼老年性白內障眼,行小切口手法白內障摘除聯閤人工晶狀體植入術,觀察其痳醉效果、術中、術後併髮癥和療效。<br> 結果:在錶麵痳醉下,92例94眼能順利完成小切口手法白內障囊外摘除聯閤人工晶狀體植入手術。疼痛指數和術中眼毬運動和眼瞼痙攣的情況均在可耐受範圍。95%患者錶示滿意。結膜下註射(50眼,52%)和固定上直肌(31眼,32%)是疼痛比較明顯的兩箇環節,其次是燒灼鞏膜血管(16眼,17%),轉覈及娩覈(13眼,14%),鞏膜隧道切口(12眼,12%),註吸黏彈劑(9眼,9%),植入人工晶狀體(1眼,1%)。它們的疼痛差異有統計學意義(P<0.05)。<br> 結論:在農村地區進行白內障防盲時,採用有效的止痛措施後,小切口非超聲乳化白內障囊外摘除聯閤人工晶狀體植入手術中採用錶麵痳醉的方法,安全可行,可有效的提高白內障防盲的工作效率。
목적:탐토소절구비초성유화백내장낭외적제연합인공정상체식입수술중응용표면마취가행성화안전성。<br> 방법:우2010-09/12채용40g/L애이잡인표면마취,대92례96안노년성백내장안,행소절구수법백내장적제연합인공정상체식입술,관찰기마취효과、술중、술후병발증화료효。<br> 결과:재표면마취하,92례94안능순리완성소절구수법백내장낭외적제연합인공정상체식입수술。동통지수화술중안구운동화안검경련적정황균재가내수범위。95%환자표시만의。결막하주사(50안,52%)화고정상직기(31안,32%)시동통비교명현적량개배절,기차시소작공막혈관(16안,17%),전핵급면핵(13안,14%),공막수도절구(12안,12%),주흡점탄제(9안,9%),식입인공정상체(1안,1%)。타문적동통차이유통계학의의(P<0.05)。<br> 결론:재농촌지구진행백내장방맹시,채용유효적지통조시후,소절구비초성유화백내장낭외적제연합인공정상체식입수술중채용표면마취적방법,안전가행,가유효적제고백내장방맹적공작효솔。
AIM: To discuss the feasibility and safety ofsmall incision non -phacoemulsification cataract surgery combined with intraocular lens implantation under surface anaesthesia. <br> METHODS: Small incision cataract surgery and intraocular lens implantation under surface anaesthesia with 40g/L Alcaine eye drops were performed on 92 patients (96 eyes) from September, 2010 to December, 2010.The pain during the operation, complications and curative effect were observed and recorded. <br> RESULTS: Surgery was successfully performed on 92 patients ( 94 eyes ) under surface anaesthesia. 95%patients considered the intraoperative aches-and-pains index, eye movements and blepharospasm as tolerable and they were satisfied with the operation. Subconjunctival injection ( 50 eyes, 52%) was the most painful operating procedure, followed by fixed suture of superior rectus ( 31 eyes, 32%) , cautery of sclera vascular ( 16 eyes, 17%) , nuclear extraction ( 13 eyes, 14%), sclera tunnel incision (12 eyes, 12%), irrigating-aspirating viscoelastic agent ( 9 eyes, 9%) and lens implantation ( 1 eye, 1%) . There was significant difference in the pain caused by these operating procedures (P<0.05). <br> CONCLUSION: In the prevention of blindness caused by cataract in the rural area, small incision cataract surgery combined with intraocular lens implantation under surface anaesthesia is safe and feasible when utility measure is taken for pain. It can improve the efficiency of the cataract surgery for prevention of blindness.