CAJ | 학술논문

目的探讨改良球筋膜囊下麻醉在玻璃体切割手术中的临床效果、安全性及作用机制.方法选取需行玻璃体切割手术的患者60例(60只眼)随机分为两组,试验组(30例)应用改良球筋膜囊下麻醉,对照组(30例)采用球后阻滞麻醉,再行玻璃体切割术,采用NRS-11(the 11-point numeric rating scale,NRS-11)观测做巩膜切口、眼内操作及结束时受术者的疼痛程度并记录分析.结果巩膜切口、眼内操作及结束时试验组NRS-11评分差异无统计学意义(P＞0.05)；试验组不良反应球结膜水肿为主(23.33％),对照组不良反应以眶内压增高8例为主(26.77％).结论改良球筋膜囊下麻醉可获得与球后阻滞麻醉相同的麻醉镇痛效果,患者对手术效果的满意,是一种安全、有效、并发症少的麻醉方法.
목적 탐토개량구근막낭하마취재파리체절할수술중적림상효과、안전성급작용궤제.방법 선취수행파리체절할수술적환자60례(60지안)수궤분위량조,시험조(30례)응용개량구근막낭하마취,대조조(30례)채용구후조체마취,재행파리체절할술,채용NRS-11(the 11-point numeric rating scale,NRS-11)관측주공막절구、안내조작급결속시수술자적동통정도병기록분석.결과 공막절구、안내조작급결속시시험조NRS-11평분차이무통계학의의(P＞0.05)；시험조불량반응구결막수종위주(23.33％),대조조불량반응이광내압증고8례위주(26.77％).결론 개량구근막낭하마취가획득여구후조체마취상동적마취진통효과,환자대수술효과적만의,시일충안전、유효、병발증소적마취방법.
Objective To study the effect,safety and mechanism of improved Sub-Tenon's anesthesia in vitrectomy operation.Methods Sixty patients were randomly assigned into two groups which were received improved Sub-Tenon's anesthesia or retrobulbar anesthesia in vitrectomy operation.The degrees of pain were evaluated by the 11-point numeric rating scale (NRS-11) at the beginning and the end of the operation.Adverse effects and the overall satisfaction on analgesic therapy were assessed when operation finished.Results The difference of the NRS-11 scores between groups was not statistically significant at the beginning and the end of operation (P ＞0.05).Bulbar conjunctiva edema occurred more frequently in experimental group,while intraorbital pressure increase occurred more frequently in control group.Conclusions Improved sub-Tenon's anesthesia can provide high level of pain control and patient cooperation,and it is a safe and effective anesthesia methods.