局部和副结膜麻醉与仅局部麻醉在患有老年性白内障的患者中进行的发酵:双盲随机对照试验
Wisaruta Wutthayakorn1, Sunee Chansangpetch2, Suppadech Tunruttanakul3
1Department of Ophthalmology, Sawanpracharak Hospital, Nakhon Sawan, Thailand.
BMC ophthalmology
|January 12, 2024
概括
将副结膜利多卡因添加到局部麻醉中以减少术后疼痛和改善患者合作. 然而,这种方法增加了注射疼痛和子结膜出血的风险.
科学领域:
- 眼科医生 眼科 眼科
- 麻醉学 麻醉学
背景情况:
- 发光乳化是一种常见的白内障手术,需要有效的麻醉.
- 局部麻醉是标准的,但它的疗效可以提高.
研究的目的:
- 为了比较局部麻醉的疗效和安全性与联合局部和副结膜麻醉用于发酵.
主要方法:
- 一个双盲,安慰剂控制的随机试验与老年白内障患者进行.
- 参与者接受了带有平衡盐溶液的局部麻醉或带有子结膜利多卡因的局部麻醉.
- 结果包括疼痛评分,患者合作和并发症.
主要成果:
- 副结膜利多卡因组显示,术后疼痛显著减少,患者合作性改善.
- 然而,利多卡因组的患者在注射过程中报告了更多的疼痛.
- 在利多卡因组中,观察到子结膜下出血的发病率增加,尽管手术并发症的发生率相似.
结论:
- 联合局部和副结膜利多卡因麻醉有效地减少术后疼痛,并增强在发酵过程中的合作.
- 这些好处必须与增加的注射不适以及较高的子结膜出血风险相对衡量.
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