Serin S, Elibol O, Sungurtekin H, Gonullu M
Department of Anesthesiology, Faculty of Medicine, Pamukkale University, Denizli, Turkey.
Ophthalmologica. 1999;213(4):224-7. doi: 10.1159/000027426.
Day case surgery has become a widely accepted practice for many ophthalmological procedures including strabismus surgery. Prompt recovery from anesthesia and minimal postoperative morbidity are especially requested to the anesthesiologists to deal with the high day case surgery burden. The purpose of this study was to compare two anesthesia techniques, halothane/thiopental anesthesia and propofol anesthesia, for patients undergoing monocular strabismus surgery. We studied the level of postoperative consciousness, nausea and vomiting, ocular pain, starting oral intake and activity in 43 patients, ranging from 7 to 41 years of age. A scoring system was used to assess these parameters in the first postoperative 48 h. Although there was not a significant difference in the level of ocular pain, the propofol group had less morbidity in terms of having a better level of consciousness and appetite, less nausea and vomiting and enhanced activity than the halothane/thiopental group. We conclude that propofol anesthesia has significant advantages over halothane/thiopental anesthesia on an outpatient basis for strabismus surgery.
日间手术已成为包括斜视手术在内的许多眼科手术广泛接受的一种做法。对于处理高日间手术负担的麻醉医生而言，特别要求能迅速从麻醉中恢复且术后发病率最低。本研究的目的是比较接受单眼斜视手术患者的两种麻醉技术，即氟烷/硫喷妥钠麻醉和丙泊酚麻醉。我们研究了43例年龄在7至41岁之间患者的术后意识水平、恶心呕吐、眼部疼痛、开始经口进食及活动情况。采用评分系统在术后48小时内评估这些参数。尽管眼部疼痛水平无显著差异，但与氟烷/硫喷妥钠组相比，丙泊酚组在意识水平和食欲更佳、恶心呕吐更少及活动能力增强方面发病率更低。我们得出结论，在门诊斜视手术中，丙泊酚麻醉比氟烷/硫喷妥钠麻醉具有显著优势。
