上腺素增强的副结膜麻醉在发酵溶解中的有效性和安全性:一项随机对照试验
Sandepan Bandopadhyay1, Deependra Kumar Sinha2, Vijay K Sharma1
1Department of Ophthalmology, Command Hospital, (Eastern Command), Kolkata, India.
European journal of ophthalmology
|August 26, 2024
概括
用上腺素进行的副结膜麻醉显著减少了在发酵过程中的疼痛和外科医生不适. 这种技术提高了白内障手术中的患者舒适度和程序效率.
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技术.
- 麻醉选择会影响患者的舒适度和手术结果.
- 副结膜麻醉被探索为疼痛管理的替代方案.
研究的目的:
- 评估下结膜麻醉在化过程中的安全性和有效性.
- 为了评估添加上腺素添加到lignocaine对子结膜麻醉的影响.
- 为了比较子结膜麻醉与局部麻醉.
主要方法:
- 对196只眼睛进行前性随机比较研究.
- 评估疼痛评分 (手术前和手术后1小时),外科医生不适,角膜清晰度,并发症和需要额外麻醉.
- 统计分析包括描述性统计,t测试和千平方测试.
主要成果:
- 副结膜麻醉在手术期间和手术后显著降低了疼痛评分 (p<0.001).
- 外科手术的不适是显著降低了下结膜麻醉 (p<0.001).
- 在术后观察到的子结膜出血 (p=0.012) 和红色 (p=0.024) 的患病率增加.
结论:
- 用上腺素进行的下结膜麻醉可以有效缓解疼痛,并减少外科医生在发酵过程中的不适.
- 加上上腺素可能会延长麻醉的持续时间.
- 副结膜麻醉对改善患者舒适度和手术效率有希望,因此需要进一步研究.
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