睫状体冷冻术后疼痛比较.docVIP

睫状体冷冻术后疼痛比较[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、72 h，7 d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、24 h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 [中图分类号] R777.3 [文献标识码]C [文章编号]1674-4721（2011）08（a）-164-02 Comparison of cyclocryotherapy patient postoperative pain JIANG Yun, ZHANG Yongli 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, P＜0.05. Conclusion: Cyclocryotherapy is a better method on curing neovascular glaucoma, it can obviously reduce postoperative pain, it is worthy of clinical application. [Key words] Ciliary body; Cryotherapy; Pain; Neovascular glaucoma 睫状体冷冻手术作为新生血管性青光眼的有效治疗手段之一在临床工作中广泛应用。但其术后剧痛是困扰患者和医生的主要并发症。现将本院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进行睫状体冷冻，术前术后进行疼痛评价比较。 1 资料与方法 1.1 一般资料 选取本院2008年1～12月收取的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，其中，男14例，女18例，共32眼，年龄55～63岁，平均60.2岁，所有患者均为糖尿病视网膜中央静脉阻塞新生血管性青光眼，视力无光感。眼压为55～72mmHg，平均62.0mmHg。 1.2 手术方法 32例患者随机分为观察组和对照组，每组各16例。术前30