评估硫酸作为辅助剂在白内障手术的子麻醉:一个前性,随机对照试验
Abdul Zahoor1, Ingrid Font2, Juan C Silva1
1Department of Anesthesia, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
Saudi journal of anaesthesia
|June 1, 2023
概括
将硫酸添加到白内障手术的子麻醉中没有提高疗效,但增加了子结膜出血的风险. 患者的满意度略低于硫酸,而外科医生的满意度保持相似.
科学领域:
- 眼科医生 眼科 眼科
- 麻醉学 麻醉学
背景情况:
- 阴下麻醉是一种用于白内障手术的常见技术.
- 辅助剂有时被添加到局部麻醉剂中以提高疗效和安全性.
研究的目的:
- 评估使用硫酸 (MgSO4) 作为用于白内障手术的子麻醉中的辅助剂的疗效,安全性和满意度.
主要方法:
- 一个单中心的,随机的,双盲试验进行了200名白内障患者.
- 患者被分配给接受硫酸 (MS) 或正常盐水 (NS) 添加到标准子麻醉剂混合物中.
- 评估了麻醉的有效性,并发症以及患者/外科医生的满意度.
主要成果:
- 在硫酸和正常盐水组之间,麻醉的有效性没有显著差异 (P = 0.594).
- 在硫酸组 (36.7%) 与正常盐水组 (10.8%) (P < 0.001) 相比,亚结节出血显著增加 (P < 0.001).
- 患者满意度在正常盐水组略高 (P = 0.001),而外科医生满意度在两组之间相似 (P = 0.149).
结论:
- 将硫酸 (50毫克) 添加到白内障手术的子麻醉中,并没有提高麻醉疗效.
- 硫酸的使用与子结膜出血的风险增加有关.
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