疼痛感知的比较在即时与延迟的顺序双边白内障手术
Cong Ngoc Nguyen1,2,3, Thanapong Somkijrungroj4, Pear Ferreira Pongsachareonnont4,5
1Clinical Sciences (International Program), Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Journal of cataract and refractive surgery
|September 9, 2025
概括
白内障手术的疼痛是轻微的,并迅速解决立即连续双边白内障手术 (ISBCS) 和延迟连续双边白内障手术 (DSBCS). 患者的教育水平,而不是手术时间,影响了疼痛感知.
科学领域:
- 眼科医生 眼科 眼科
- 外科手术的结果
- 疼痛管理 疼痛管理
背景情况:
- 白内障手术是一种常见的手术,患者报告的结果各不相同.
- 了解顺序双边白内障手术方法之间的疼痛感知差异对于患者护理至关重要.
研究的目的:
- 为了比较患者报告的疼痛感知,即时顺序双边白内障手术 (ISBCS) 和延迟顺序双边白内障手术 (DSBCS) 之间.
主要方法:
- 一项前性队列研究招募了90名接受ISBCS或DSBCS,局部麻醉且没有镇静的患者.
- 疼痛评分使用口头数值评分尺度在手术后的0,1和7天进行评估.
- 一个线性混合效应模型分析了疼痛分数差异,并对共变量进行调整.
主要成果:
- 在任何时间点,ISBCS和DSBCS组之间没有观察到疼痛评分的显著差异.
- 在这两组中,随着时间的推移,疼痛水平显著下降.
- 手术的持续时间和更高的患者教育水平与疼痛得分的增加有关.
结论:
- 白内障手术疼痛通常是轻微的和短暂的,不管它是立即执行或延迟顺序.
- 患者的教育水平会影响疼痛感知,强调需要有效的手术前咨询.
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