Barker J P, Vafidis G C, Hall G M
Edgware General Hospital, Middlesex.
Anaesthesia. 1996 May;51(5):435-7. doi: 10.1111/j.1365-2044.1996.tb07786.x.
Two hundred and thirty-one patients were questioned the day following their cataract surgery to ascertain the incidence of postoperative morbidity. One hundred and nineteen patients received local anaesthesia (LA) and 112 received general anaesthesia (GA). There was a significant difference in the incidence of nausea (21% in GA group, 3% in LA group, p < 0.01), sore throat (41% GA group, 3% LA group, p < 0.01), and bruising of the eye (15% GA group, 39% LA group, p < 0.01). There was no significant difference in the incidence of vomiting, headache, double vision, the severity of postoperative pain, or the need for analgesia. The time before the patients drank and ate postoperatively was significantly shorter in the local anaesthetic group (1.3 h and 1.8 h LA group, 4.1 h and 6.7 h GA group respectively, p < 0.01).
231名患者在白内障手术后次日接受询问，以确定术后并发症的发生率。119名患者接受局部麻醉（LA），112名患者接受全身麻醉（GA）。恶心发生率（GA组为21%，LA组为3%，p<0.01）、喉咙痛（GA组为41%，LA组为3%，p<0.01）和眼部瘀伤（GA组为15%，LA组为39%，p<0.01）存在显著差异。呕吐、头痛、复视的发生率、术后疼痛的严重程度或镇痛需求方面无显著差异。局部麻醉组患者术后进食和饮水前的时间明显更短（LA组分别为1.3小时和1.8小时，GA组分别为4.1小时和6.7小时，p<0.01）。
