斜视术中不同麻醉方式对眼心反射影响的观察

目的探讨斜视手术中不同的麻醉方式眼心反射发生率的差异及其临床意义。方法将84例斜视患者根据手术需要分为局麻组和全麻组,两组患者再随机分为传统麻醉组及传统麻醉联合球后麻醉组,记录勾取眼外肌前后心率变化,按照不同的麻醉方式对眼心反射发生的阳性率进行了临床观察。结果全麻患者眼心反射发生的阳性率明显低于局麻,无论患者是全麻还是局麻,球后麻醉均可有效降低眼心反射的发生率,术后呕吐的发生率也相对较低。结论在传统麻醉的基础上联合球后麻醉可以减少眼心反射的发生,有效提高斜视手术安全性。

Analysis the influence of different anaesthesia on the oculocardiac reflex during strabismus surgery

Objective To study the effectiveness of different anaesthetic regimes on the oculoeardiac reflex during strabismus surgery. Methods 84 cases aged between 18 months to 51 years old divided into two groups: 54 cases received general anaesthesia and 30 cases received local anaesthesia by clinical required. All cases re- ceived either general anaesthesia alone or combined with retrobulbar block randomly. The incidence of the oculo- cardiac reflex during surgery, the occurrence of arrhythmias and nausea and vomi...