表面麻醉联合结膜下麻醉在抗青光眼术中的应用.pdfVIP

· 论 著· 2008年1月第46卷第2期 表面麻醉联合结膜下麻醉在抗青光眼术中的应用 李天荣 (四川省绵阳市第八人民医院，四川绵阳621000) [摘要】目的 探讨表面麻醉联合结膜下麻醉对抗青光眼手术的可行性并分析其镇痛效果及优点。方法 对68例98眼抗青 光眼手术应用表面麻醉联合结膜下麻醉，观察其麻醉效果及术中、术后并发症。结果 本组全部患眼均能达到理想的麻醉镇 痛效果，顺利完成手术，同时避免了球后阻滞麻醉的一些潜在危险和并发症的发生。结论 表面麻醉联合结膜下麻醉对抗青 光眼手术效果明显，术中无并发症发生，是一种有效、安全、简便、易行的麻醉选择。 [关键词1表面麻醉；结膜下麻醉；抗青光眼术；应用 【中图分类号】R775 [文献标识码】A 【文章编号】1673-9701(2oo8)02-30-02 Application of Superficial and Subconjunctival Anesthesia in Anti-glaucoma Surgery 工．i Tianrong No．8 People’s Hospital of Mianyang City，Sichuan 621000 【Abstractl Objective To investigate the feasibility of superficial plus subeonjunctival anesthesia and analyse its analgesic effect and advan- tages in anti—glaucoma operation．Methods Anti-glaucoma operations with superficial plus subconjunctival anesthesia were conducted in 98 eyes of 68 patients．Its anesthesic effect and complications in and post operations we observed．Results The operations were successfully completed with satisfactory analgesic effect in the group of patients without such potential risks and comphcations as with retrobulbar block anesthesia．Conclusion Superficial plus subconjunctival anesthesia have significantly anesthesic effects for anti—glaucoma operation．There ate no complications in the operations．It is a simple，safe，and convenient choice of anesthesia． [Key Words】Superficial anesthesia；Subco~unctival anesthesia；Anti-glaucoma operation 青光眼是一种以特征性视神经萎缩和视野缺损为共同特征 术病例，共68例98眼，男28例，女40例；双眼手术43例，单眼 的疾病，病理性眼压增高是其主要危险因素之一。眼压升高的水 手术23例；眼压：3．89～7．88kPa，平均5．75kPa；年龄35～75岁， 平和视神经对压力损害的耐受性，与青光眼视神经萎缩和视野 平均58．6岁；原发闭角型青光眼58例9o眼，原发开角型青光眼 缺损的发生和发展有关。青光眼是主要致盲原因之一，发病率为 5例5眼，虹膜周切术后眼压不降3例2眼，外伤性房角后退型 0．21％～1．64％，占盲人总数 10％左右，因此加强青光眼的防治对 青光眼2例1眼。 保障人民健康有深远的意义【1]。而