白内障手术的局部麻醉：患者视角
Topical anesthesia for cataract surgery: the patients' perspective.
作者信息
Apil Aytekin, Kartal Baki, Ekinci Metin, Cagatay Halil Huseyin, Keles Sadullah, Ceylan Erdinc, Cakici Ozgur
机构信息
Department of Ophthalmology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
Department of Ophthalmology, Regional Training and Research Hospital, Erzurum, Turkey.
出版信息
Pain Res Treat. 2014;2014:827659. doi: 10.1155/2014/827659. Epub 2014 Jun 24.
Purpose. To evaluate the analgesic efficacy of 0.5% propacaine hydrochloride as topical anesthesia during phacoemulsification surgery. Methods. Intraoperative pain intensity was assessed using a 5-category verbal rating scale during each of three surgical stages. Pain scores from each surgical stage and total pain scores were compared for the factors of patient age, gender, cataract laterality, and type. Results. In comparison of cataract type subgroups, the mean total pain scores and mean stage 2 pain scores in both white mature cataract (WMC) and corticonuclear plus posterior subcapsular cataract (CN + PSC) groups were significantly higher than in the PSC-only (PSC) group (P < 0.05). Conclusion. Phacoemulsification with topical anesthesia is not a completely painless procedure. Pain intensity varies with cataract type and stage of surgery.
目的。评估0.5%盐酸丙美卡因作为白内障超声乳化手术局部麻醉剂的镇痛效果。方法。在三个手术阶段的每一个阶段，使用5级口头评定量表评估术中疼痛强度。比较每个手术阶段的疼痛评分和总疼痛评分与患者年龄、性别、白内障侧别和类型等因素的关系。结果。在白内障类型亚组的比较中，白色成熟白内障（WMC）组和皮质核性加后囊下白内障（CN + PSC）组的平均总疼痛评分和平均第二阶段疼痛评分均显著高于单纯后囊下白内障（PSC）组（P < 0.05）。结论。局部麻醉下的白内障超声乳化手术并非完全无痛。疼痛强度随白内障类型和手术阶段而变化。
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