Department of Anesthesiology, Professor of Anesthesiology, Metabolic Diseases Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran.
Department of Ophthalmology, Qazvin University of Medical Sciences, Qazvin, Iran.
BMC Res Notes. 2022 Jun 28;15(1):234. doi: 10.1186/s13104-022-06125-w.
To evaluate the effects of cryotherapy on pain scores and satisfaction levels of patients during cataract surgery under topical anesthesia. Eighty patients aged between 55 and 75 years scheduled for cataract surgery were randomly allocated to two study groups to receive topical anesthesia with cryotherapy (TC) or topical anesthesia alone (T) groups. Visual analog pain scores, patient satisfaction level, hemodynamic parameters, and quality of operating conditions were recorded.
Cryotherapy significantly reduced VAS pain scores during surgery (P = 0.014). Although no significant difference in postoperative pain scores, opioid consumption, heart rate, and mean arterial blood pressure was seen in the postoperative period. The surgeon reported better quality of operating conditions in the TC group (P = 0.018). Cryotherapy as a complementary method with topical anesthesia reduced pain scores of patients during surgery. It also produced a better quality of operating conditions for surgeons. There was no significant difference in either postoperative pain scores or opioid consumption. Trial registration This trial was registered at Iranian clinical trial registering: IRCT registration number: IRCT2017052734091N2.
评估在局部麻醉下白内障手术中使用冷冻疗法对患者疼痛评分和满意度的影响。
将 80 名年龄在 55 至 75 岁之间的白内障手术患者随机分为两组，分别接受冷冻疗法（TC）或单纯局部麻醉（T）。记录视觉模拟疼痛评分、患者满意度、血流动力学参数和手术条件质量。
冷冻疗法显著降低了手术期间的 VAS 疼痛评分（P=0.014）。虽然术后疼痛评分、阿片类药物用量、心率和平均动脉血压无显著差异。在 TC 组，外科医生报告手术条件质量更好（P=0.018）。冷冻疗法作为局部麻醉的辅助方法降低了患者手术期间的疼痛评分。它还为外科医生提供了更好的手术条件。术后疼痛评分或阿片类药物用量无显著差异。
本试验在伊朗临床试验注册中心注册：IRCT 注册号：IRCT2017052734091N2。
