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睫状体冷冻术后疼痛比较
引用本文:蒋云,张永利.睫状体冷冻术后疼痛比较[J].中国当代医药,2011,18(22):164-165.
作者姓名:蒋云  张永利
作者单位:1. 河北省滦县人民医院,河北滦县,063700
2. 河北省唐山市协和医院,河北唐山,063000
摘    要:目的:探讨减轻新生血管性青光眼术后疼痛的方法。方法:选取本院2008年1~12月32例糖尿病视网膜中央静脉阻塞造成的新生血管性青光眼患者随机分为观察组和对照组,观察组实施沿角膜缘切开结膜,3:00和9:00放射状切开暴露巩膜冷冻手术,对照组患者结膜不切开直接进行睫状体冷冻。观察两组术后6、12、24、72h,7d患者疼痛情况,比较两组患者的治疗效果。结果:观察组术后6、12、24h患者疼痛减轻明显,球结膜水肿减轻明显,两组比较P〈0.05,差异有统计学意义。结论:睫状体冷冻手术是新生血管性青光眼手术的有效方法,能有效减轻患者术后疼痛,值得临床推广。

关 键 词:睫状体  冷冻术  疼痛  血管性青光眼

Comparison of cyclocryotherapy patient postoperative pain
Authors:JIANG Yun  ZHANG Yongli
Institution:1.People’s Hospital in Luan County of Hebei Province, Hebei Province, Luan County 063700, China; 2.Union Hospital in Tangshan City of Hebei Province, Hebei Province, Tangshan 063000, China
Abstract:Objective: To explore better methods reducing neovascular glaucoma patients postoperative pain. Methods: Selected 32 diabetic central retinal vein occlusion patients from January 2008 to December 2008 in our hospital, randomly divided into control group and observation group, the observation group treated with slited cornea along the limbal, at 3:00 and 9:00 radial slited and exposed sclera cryosurgery cryosurgery. The control group treated with cryosurgery cryosurgery without slit cornea. Observed the two groups' postoperative pain in 6, 12, 24, 72 h, 7 d. Results: The observation groups' postoperative pain reduced obviously in 6, 12, 24, 72 h, conjunctival edema obviously reduced, there were significant difference between the two groups, P0.05. Conclusion: Cyclocryotherapy is a better method on curing neovascular glaucoma, it can obviously reduce postoperative pain, it is worthy of clinical application.
Keywords:Ciliary body  Cryotherapy  Pain  Neovascular glaucoma
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