前房注入1%利多卡因辅助表面麻醉在眼前段内眼手术中的应用  

The application of injecting 1% lidocarine into anterior chambet to assist topical anesthecia in anterior segment surgery

作　　者：汪鸿[1] 殷义平[1] 陈新[1] 

机构地区：[1]安徽省池州市人民医院眼科,247000

出　　处：《实用防盲技术》2007年第2期16-17,共2页Journal of Practical Preventing Blind

摘　　要：目的探讨前房注入1%利多卡因作为表面麻醉的一种辅助麻醉在眼前段内眼手术中的麻醉效果。方法对29例42眼患者眼前段内眼手术,在手术进入前房前,通过1mm前房穿刺或侧切口注入1%利多卡因,观察麻醉效果及术中术后并发症。结果Ⅰ级手术中完全无疼痛,手术配合良好;Ⅱ级术中疼痛轻微,可以耐受配合手术完成;Ⅲ级术中疼痛较剧,难以忍受。Ⅰ级者40眼,Ⅱ级者2眼,Ⅲ级者0眼,术中、术后无出现并发症。结论表面麻醉联合前房注入1%利多卡因是一种安全、有效、并发症少的麻醉方法。Objcetive Methods Results Conclusions To demonstrate the effect of injecring 1% lidocarine in 38 eyes(30 patients)before operation. Observe the results of anesthesia,the complications during and after the operation. Grade I: No pain and cooperate well during operation (32 eyes) Grade Ⅱ:little pain and can tolerate the operation.(6 eyes) Grade Ⅲ:Sever pain and cannot tolerant the operation(0 eyes).There is no sever complications during and after surgery. Injecting 1%lidocarine into anterior chamber to assist topical anesthesia is a safe, useful anesthetic method.

关 键 词：表面麻醉 眼前段内眼手术 1%利多卡因、前房注入 

分 类 号：R779.6[医药卫生—眼科]