球周麻醉与单纯表面麻醉在小梁切除术中的应用比较

目的:探析球周麻醉和单纯表面麻醉(加结膜下浸润麻醉)在行小梁切除术的青光眼患者中的临床疗效。方法:分析接受青光眼小梁切除术治疗的74例(80眼)患者的临床资料。根据麻醉方式的不同,将入选者分成观察组(单纯表面麻醉加结膜下浸润麻醉,46眼)和对照组(球周麻醉,34眼)。比较两组患者的一般资料、麻醉效果、术前术后的视野、视力及眼压变化情况以及术后并发症发生情况。结果:两组患者的一般资料、整体麻醉效果、术前术后的视野、视力及眼压以及术后并发症发生率均无显著性差异(P>0.05)。两组患者术后眼压均较术前显著降低(P<0.05),眼压控制情况良好。观察组术后无球结膜水肿及眼睑皮下出血症状。结论:青光眼患者在单纯表面麻醉(加结膜下浸润麻醉)下接受小梁切除术有效、安全。

The comparison of clinical efficacy of topical anesthesia and peribulbar anesthesia in trabeculectomy

Objective:Our retrospective study was aimed to analyze the clinical efficacy of peribulbar anesthesia and topical anesthesia (combined with subconjunctival anesthesia) in treating glaucoma patients with trabeculectomy.Methods:Clinical data of 74(80 eyes) patients with glaucoma was retrospectively analyzed.Patients included were divided into two groups according to the different anesthesia,observe group (topical anesthesia combined with subconjunctival anesthesia,46 eyes) and control group (peribulbar anesthesia,34 eyes).The general information,anesthetic effect,the vision,visual acuity and intraocular pressure before and after operation,the occurrence of postoperative complications in two groups were compared.Results:The general information,anesthetic effect,the vision,visual acuity and intraocular pressure before and after operation and the occurrence of postoperative complications in two groups were with no statistical difference (P ＞ 0.05).The intraocular pressure of patients in two groups after operation obviously lower than the levels before operation (P ＜ 0.05).The intraocular pressure was well controlled after operation in two groups.There was no eyelid hemorrhage and conjunctival edema in observe group.Conclusion:The topical anesthesia combined with subconjunctival anesthesia) is effective and safe for glaucoma patients with trabeculectomy.