摘要
目的 探讨表面麻醉技术在白内障现代囊外摘除及人工晶体植入术中应用的可行性及优缺点。方法 12 0只各种类型的白内障眼随机分为两组 ,每组 60只眼 ,分别在表面麻醉下及传统的球后麻醉下实施白内障现代囊外摘除及人工晶体植入术 ,比较两组病例间术中疼痛、眼压控制、后囊破裂情况以及术后早期视力恢复情况。结果 ①术中疼痛发生率 ,两组之间比较差异无显著 (P <0 .0 5)。②术中眼压控制情况 ,表面麻醉组明显优于球后麻醉组 (P <0 .0 5)。③术中后囊破裂发生情况 ,表面麻醉组显著低于球后麻醉组 (P <0 .0 5)。④术后早期视力恢复情况 ,两组之间比较差异不显著 (P >0 .0 5)。结论 表面麻醉方式在白内障现代囊外摘除及人工晶体植入术中的应用是安全可行的 ,并且具有术中眼压控制理想 ,后囊破裂发生率低的优点。
Objective To explore the feasibility, advantages and disadvantages of topical anesthesia in the extracapsular cataract extraction (ECCE) and intraocular lens implantation (IOL). Methods One hundred and twenty eyes with cataract were randomly and equally divided into 2 groups. One group was with topical anesthesia and the other with retrobulbar anesthesia and ECCE and IOL were performed on all patients. The percentage of sensation painful, high intraocular pressure (IOP) and broken of post capsular (PC) were observed during the operation and the early visual acuity of the 2 groups was compared. Results No significant difference was found in the painful sensation between the 2 groups ( P <0.05). IOP was better controlled in topical anesthesia group than in retrobulbar anesthesia group and the broken of PC was lower in the former than in the later group, while the early visual acuity had no significant difference. Conclusion Topical anesthesia in the extracapsular cataract extraction and intraocular lens implantation is feasible and with the advantages of well controlled IOP and less broken of PC.
出处
《第三军医大学学报》
CSCD
北大核心
2000年第8期801-803,共3页
Journal of Third Military Medical University
