重硅油和普通硅油填充术后舒适性调查研究.docVIP

重硅油和普通硅油填充术后舒适性调查研究 　　摘要：目的对比研究眼内填充重硅油和普通硅油术后患者的舒适度。方法选取玻璃体视网膜手术应用重硅油与普通硅油填充的患者各20例。对患者术后的不适症状进行问卷调查，并统计分析问卷结果。结果普通硅油填充术后采取俯卧体位会给患者多器官系统带来明显的不适，重硅油填充术后采取坐位或平卧体位不会给患者带来明显的不适，二者舒适度相比差异显著。结论在保证视网膜复位的前提下，根据视网膜脱离患者不同的病变部位选择应用普通硅油或重硅油，可以提高患者的舒适度，有利于患者康复。 　　关键词：硅油；体位；舒适性 　　中图分类号：R774.1+2文献标识码：A文章编号：1672-979X(2008)05-0057-03 　　Investigation on Comfort of Patients Filled with Heavy Silicone Oil or Conventional Silicone Oil 　　LI Lin, PANG Xiu-qin 　　(Beijing Tongren Eye Center, Affiliated Beijing Tongren Hospital, Capital University of Medical Science, Beijing 100730, China) 　　Abstract：Objective To compare the degree of comfort of patients filled with heavy silicone oil or conventional silicone oil after vitrectomy. Methods Twenty patients suffered from vitrectomy were filled with heavy silicone oil or conventional silicone oil after vitrectomy. The uncomfortable symptoms of patients were investigated through questionnaire and the results were statistically analyzed. Results After full of conventional silicone oil, the patients with prone body position had obvious uncomfortable feelings in multi-organ systems, while, full of heavy silicone oil, the patients with sitting position or prostration had no apparent discomfort. There was a remarkable difference on degree of comfort of patients between heavy silicone oil and conventional silicone oil after vitrectomy. Conclusion Under the premise of ensuring reattachment of retina, it is beneficial for promoting the degree of comfort of patients as well as their recovery to apply conventional silicone oil or heavy silicone oil according to the positions of retinal detachment of patients. 　　Key words：silicone oil; posture; comfort 　　 　　自1962 年Cibi等率先将硅油作为玻璃体腔填充物用于治疗伴有增生改变的视网膜脱离以来，硅油已被常规用于治疗难治性复杂性视网膜脱离，并取得一定疗效[1]。但由于普通硅油填充术后要求患者采取俯卧体位，这给患者带来诸多不便，此外某些伴有其他组织器官复合伤的患者，儿童、老人及一些全身条件差的患者，很难做到严格俯卧体位。1988年Chang等[2]首次报道用比水重的全氟化碳液体作为玻璃体替代物。此后，眼科学界一直在努力探索既具有普通硅油的优点，又不需患者采取特殊体位的眼内填充物。经过学者的不懈努力，目前已经有两种获得批准的重硅油在临床中应用，一种是博士伦公司（Bausch Lomb）的