本文介绍了4年来在针麻下施行晶体摘出术374例的情况。通过安践证明:白内障晶体摘出术完全可以在针麻下进行,且具有操作简易,术后刺激症状轻,伤口恢复快等优点,对药麻敏感的病例提供了手术条件。但针麻还存在眼轮匝肌松弛不良、镇痛不全等缺点,致使部分病例在术中出现眼压增高和玻璃体脱出。通过针麻技术和手术操作改进,对这些缺点已有所克服,但仍需进一步探索和解决。 This article describes the implementation of 4 years in the Acupuncture anesthesia in 374 cases of exhumation cases. Through the practice proved that: cataract extraction can completely under the needle anesthesia, and has the advantages of simple operation, mild postoperative irritation, rapid wound recovery, etc., to provide drug-sensitive cases of surgical conditions. However, there are still miscarry orbital muscle relaxation laxity, shortcomings and other incomplete analgesia, resulting in some cases of intraocular pressure during surgery and vitreous prolapse. Through the improvement of acupuncture anesthesia and surgical operation, these shortcomings have been overcome, but still need to be further explored and resolved.