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目的球后神经阻滞麻醉与表面麻醉应用于青光眼小梁切除术优、缺的比较。方法回顾分析78例表面麻醉与73例球后麻醉下的青光眼小梁切除术,将两者在术前焦虑程度、术中疼痛程度、术中配合程度及术中麻醉并发症方面进行比较。结果实验组与对照组恐惧程度差异无显著意义(P>0.05),两组患者疼痛程度及术中配合程度无显著差异(P>0.05),两组术中并发症的发生率有显著差异(P<0.05)。结论表面麻醉下可以顺利完成青光眼手术,操作简单、安全、术中并发症少见,应作为青光眼手术的主要麻醉主法。但在某些特殊病例、特殊情况下应须使用球后麻醉。
Objective To compare the advantages and disadvantages of post-retrobulbar nerve block anesthesia and surface anesthesia in glaucoma trabeculectomy. Methods A retrospective analysis of 78 cases of surface anesthesia and 73 cases of retrobulbar trabeculectomy under glaucoma trabeculectomy, both in the preoperative anxiety, intraoperative and postoperative pain, degree of intraoperative and intraoperative anesthetic complications were compared. Results There was no significant difference in the degree of fear between experimental group and control group (P> 0.05). There was no significant difference between the two groups in the degree of pain and the degree of intraoperative cooperation (P> 0.05). The incidence of intraoperative complications was significantly different P <0.05). Conclusions Glaucoma surgery can be successfully performed under surface anesthesia. It is simple and safe to operate and has few complications. It should be the main method of anesthesia for glaucoma surgery. But in some special cases, under special circumstances should be used after the ball anesthesia.