在接受多次静脉内注射抗血管内皮生长因子的患者中,潜在的眼睛疼痛风险因素
Nadyr A Damasceno1,2, Juliana Angélica Estevão Oliveira2, Nicolas A Yannuzzi3
1HNMD, Hospital Naval Marcilio Dias, Department of Ophthalmology, Rio de Janeiro, RJ, Brazil.
Clinical ophthalmology (Auckland, N.Z.)
|June 12, 2024
概括
严重的眼睛干燥和先前的硬膜扣扣手术与静脉内注射期间的眼睛疼痛相关. 这些因素需要在接受多次抗VEGF治疗的患者考虑.
科学领域:
- 眼科医生 眼科 眼科
- 视网膜疾病 视网膜疾病
- 疼痛管理 疼痛管理
背景情况:
- 抗血管内皮生长因子 (anti-VEGF) 的静脉内注射是治疗胆管血管疾病的常见方法.
- 在这些注射过程中评估影响眼部疼痛的因素对于患者的舒适性和坚持至关重要.
- 以前的病史和手术干预可能会影响疼痛感知.
研究的目的:
- 为了评估患者经历多次静脉内注射抗VEGF药物的眼睛疼痛.
- 为了确定可能使患者患上疼痛敏感性增加的预先存在的因素.
主要方法:
- 进行了一项前性,观察性案例系列研究.
- 患者接受了≥3次连续的拉尼比祖马布或阿弗利伯塞普的静脉内注射.
- 在注射期间,用数值模拟尺度量化了眼部疼痛.
主要成果:
- 在894名患者中 (948只眼睛,4822注射),88.6%的人报告没有或轻度的眼痛.
- 中度疼痛报告了8.9%,重度疼痛报告了1.6%,极度重度疼痛报告了0.7%.
- 严重的干眼和先前的硬膜手术与增加的眼部疼痛有显著的相关性 (p=0.01).
结论:
- 严重的眼睛干燥和脑膜扣手术史是内内注射期间眼睛疼痛的重要原因.
- 这些发现强调了考虑患者特定因素的重要性,以有效管理疼痛.
- 优化疼痛管理策略可以改善患者在重复的静脉内治疗过程中的体验.
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