Cannon C S, Gross J G, Abramson I, Mazzei W J, Freeman W R
Department of Ophthalmology, University of California, San Diego School of Medicine.
Br J Ophthalmol. 1992 Feb;76(2):68-71. doi: 10.1136/bjo.76.2.68.
The experience of 55 consecutive individuals undergoing outpatient vitreoretinal surgery was evaluated. Objective variables, including preoperative and intraoperative information, subjective postoperative pain, and discomfort were measured with a previously validated 100 mm visual analogue scale. Patients also ranked the overall experience. Average pain and discomfort scores in the recovery room were 21.8 and 22.6 and overnight were 26.7 and 30.4 (scale 0 to 100), respectively. Eighty eight per cent of subjects were satisfied with the experience. Elevated pain and discomfort scores were statistically correlated with scleral buckling, prolonged surgical or recovery room time, requirement for parenteral pain medications, and high intraocular pressure on the first postoperative visit. None of the patients needed further hospital treatment. This study suggests that vitreoretinal surgery in an appropriately selected population does not require routine inpatient care.
对连续55例接受门诊玻璃体视网膜手术的患者的经验进行了评估。使用先前验证过的100毫米视觉模拟量表测量客观变量，包括术前和术中信息、术后主观疼痛和不适。患者还对总体体验进行了排名。恢复室的平均疼痛和不适评分分别为21.8和22.6，过夜时分别为26.7和30.4（量表范围0至100）。88%的受试者对该体验感到满意。疼痛和不适评分升高与巩膜扣带术、手术或恢复室时间延长、需要胃肠外止痛药物以及术后首次就诊时的高眼压在统计学上相关。没有患者需要进一步的住院治疗。这项研究表明，在适当选择的人群中进行玻璃体视网膜手术不需要常规住院护理。
