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球结膜下麻醉行抗青光眼术的临床研究

Clinical Study of Subconjunctival Anesthesia in Anti-glaucoma Surgery

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【作者】 黎春雷江波高慕洁

【Author】 LI Chun-lei,JIANG Bo,GAO Mu-jie(Maoming City People’s Hospital,Guangdong Maoming 525000,China)

【机构】 广东省茂名市人民医院眼科广东省茂名市人民医院眼科 广东茂名525000广东茂名525000

【摘要】 目的:评价球结膜下麻醉在抗青光眼手术中应用的可行性、安全性和麻醉效果。方法:对65例110眼青光眼手术用2%利多卡因球结膜下浸润麻醉,并与同期在球后麻醉下行滤过性青光眼手术的55例96眼对比,分析其麻醉效果及需注意的技巧。结果:球结膜下麻醉用于青光眼手术,麻醉镇痛效果良好,患者合作良好,简化了麻醉和手术步骤,缩短了手术时间并能避免球后麻醉的并发症。结论:球结膜下麻醉对于抗青光眼手术是一种有效、安全、快捷、并发症少的麻醉选择,并且容易推广应用。

【Abstract】 Objective:To evaluate the feasibility,reliability and analgesia effect of subconjunctival anesthesia in anti-glaucoma surgery.Methods:65 cases(110 eyes) were performed anti-glaucoma surgeries under subconjunctival anesthesia with 2% Lidocaine,contrast with 55 cases(96 eyes) under retrobulbar anesthesia.The anesthesia effect was analyzed and anesthetic technic was commended.Results:The application Of subconjunctival anesthesia in anti-glaucoma surgery can give a good cooperation in course,and avoid the complications of retrobulbar anesthesia and reduce program of anesthesia and surgery,shorten the surgical time with satisfactory anesthesia effect.Conclusions:Subconjunctival anesthesia is effective,safe alternative in anti-glaucoma surgery,it can refer less anesthetic complications and more short surgical time.It is easy to be applied widely.

  • 【分类号】R614;R779.6
  • 【被引频次】1
  • 【下载频次】22
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