Department of Ophthalmology and Otolaryngology, Liannan Hospital of The First Affiliated Hospital of Guangdong Pharmaceutical University (Liannan Yao Autonomous County People's Hospital), Qingyuan, 513399, Guangdong, China.
School of Nursing, Guangdong Pharmaceutical University, Guangzhou, 510006, Guangdong, China.
Int Ophthalmol. 2024 Jun 11;44(1):232. doi: 10.1007/s10792-024-03090-0.
To explore the application effect of cervical pillow in phacoemulsification surgery for age-related cataract patients.
104 cases of age-related cataract patients admitted to our hospital in June 2023 were enrolled and divided into the control group (traditional supine position) and the experimental group (the cervical pillow supine position) by the digital parity method (52 cases per group). The two groups were evaluated for the discomfort score, the satisfaction of patients and doctors, the head displacement rate, the number of displacement, the operation time and the time of body position during the operation and after the operation.
There was no significant difference in the gender (P = 0.84), age (P = 0.86), course of disease (P = 0.82) and the time spent on position placement (P = 0.15) of the two groups. The patient in the experimental group had lower discomfort score (P = 0.0001), higher patients satisfaction (P = 0.0001) and higher doctors satisfaction (P = 0.0001) than patients in the control group. There was no significant difference between the experimental group and the control group in the proportion of intraoperative (P = 0.36) and postoperative pain (P = 0.65). Besides, the number of head transfers (P = 0.001), number of head shifts (P = 0.0001), the surgical time (P = 0.0001) and laparoscopic time (P = 0.0001) in the experimental group were significantly lower than those in the control group.
The additional cervical pillow for age-related cataract patients in the traditional supine position during the operation will not increase the preparation time before the operation, but will help improve the patient satisfaction, improve the comfort and maintain a good position of the operative eye field, bringing obvious comfort and smooth operation for the surgeon in the operation, thus reducing the risk of the operation, shortening the operation time.
探讨颈椎枕在老年性白内障超声乳化手术中的应用效果。
选取 2023 年 6 月我院收治的 104 例老年性白内障患者，按照数字奇偶法分为对照组（传统仰卧位）和实验组（颈椎枕仰卧位），每组 52 例。评价两组患者的不适评分、患者和医生满意度、头部移位率、移位次数、手术时间和术后体位摆放时间。
两组患者的性别（P=0.84）、年龄（P=0.86）、病程（P=0.82）和体位摆放时间（P=0.15）差异无统计学意义。实验组患者的不适评分较低（P=0.0001），患者满意度（P=0.0001）和医生满意度（P=0.0001）较高。实验组和对照组患者术中（P=0.36）和术后疼痛（P=0.65）的比例差异无统计学意义。此外，实验组患者的头部转移次数（P=0.001）、头部转移次数（P=0.0001）、手术时间（P=0.0001）和腹腔镜时间（P=0.0001）均明显低于对照组。
老年性白内障患者在传统仰卧位手术中增加颈椎枕，不会增加术前准备时间，但有助于提高患者满意度，提高舒适度，保持良好的手术眼场位置，为手术医生带来明显的舒适和手术顺利进行，从而降低手术风险，缩短手术时间。
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