单用布比卡因注射液的免置管浸润麻醉在玻璃体视网膜手术中的应用.docVIP

单用布比卡因注射液的免置管浸润麻醉 在玻璃体视网膜手术中的应用 麵鈕賴陈金鹏杨志军吕菊玲章政吴伟 #霍淑平 武汉大学人民医院鄂州医院鄂州市中心医院眼科 汉大学人民医院鄂州医院鄂州市中心医院麻醉科 目的:评价单用布比卡因注射液的免置管浸润麻醉在玻璃体视网膜手术中的临床 效果。方法:选取在我院进行玻璃体视网膜手术的患者58例58眼，随机分为两 组，观察组（28J列28眼）采用单用布比卡因注射液的免置管浸润麻醉，对照组 （30 例 30 眼）采用传统 Tenon 囊下麻醉。运用 NRS-11 （the 11-point numeric rating scale, NRS-11）监测患者麻醉过程、巩膜切口、眼内操作过程中及手术 结束吋疼痛程度的情况，并记录两组患者心率、血压变化以及麻醉吋间。结果： 两组患者麻醉过程、巩膜切门、眼内操作过程屮及手术结束时NRS-11评分差异 均无统计学意义（P〉0.05）;患者心率、血压变化差异亦均无统计学意义 （P〉0.05）:两组麻醉时间比较差异有统计学意义（P0.05）。结论:单用布比卡 因注射液可取得与利多卡因、布比卡因混合液相同的效果，免置管浸润麻醉耗时 短，是一种安全、有效的麻醉方法。 关键词： 免置管浸润麻醉;Temrn囊下麻醉;玻璃体切割手术; 张鹏，毕业于武汉大学，硕士，副主任医师，研究方向：角膜病、白 内障。 李丹，毕业于武汉大学，硕士，副主任医师，研究方向：临床麻 醉.OCT FFA@163. com 2017-07-12 基金：湖北省卫生计生委科研基金资助项目（NO.WJ2015Z102） Clinical application of bupivacaine in non-catheter infiltration anesthesia during vitrectomy Peng Zhang Dan Li Jian Zhang Jin-Peng Chen Zhi-Jun Yang Ju-Ling Lyu Zheng Zhang Wei-Lin Wu Shu-Ping Huo Department of Ophthalmology, Ezhou Hospital of Renmin Hospital of Wuhan University;Ezhou Central Hospital; Department of Anesthesiology, Ezhou Hospital of Renmin Hospital of Wuhan University;Ezhou Central Hospital; Abstract： ATM:To evaluate the effect of bupivacaine in non-catheter infiltration anesthesia during vitretomy operation. METHODS:Fifty-eight patients (58 eyes) with vitreous retinal surgery were selected. Patients were randomly divided into observation group ( 28 eyes) and control group ( 30 eyes) . The observation group were received non-catheter infiltration anesthesia. The control group were received traditional Sub-Tenon’s block ( STB) . Degree of pain, basic vital signs, the duration of anesthesia and analgesia grade were recorded and compared between two groups. RESULTS:No significant difference was found in thel 1-point numeric rating scale ( NRS-11 scoring) of anesthesia process, sclera incision, intraocular operation and the end of operation between two groups ( P 0. 05) . The difference were not significant in heart rate and blood pressure between two groups ( P 0. 05) . There wa