表面麻醉联合结膜下浸润麻醉在青光眼滤过手术中的疗效分析  

The Effect of Topical and Subconjunctival Anesthesia in Filtration Surgery on Glaucoma Patients

作　　者：丁丽霞[1] 牟朝霞[1] 宋鉴[1] 郭春红[1] 于小婷[1] 

机构地区：[1]潍坊医学院附属潍坊市人民医院眼科,山东潍坊261041

出　　处：《潍坊医学院学报》2006年第4期247-248,共2页Acta Academiae Medicinae Weifang

摘　　要：目的 观察评估表面麻醉联合结膜下浸润麻醉在青光眼滤过手术中的临床疗效及安全性。方法 对109例（132眼）各型青光眼患者在0．4％ Benoxil滴眼液和2％利多卡因0．2～0．3ml结膜下浸润麻醉行青光眼滤过手术，观察麻醉效果及术中、术后并发症。结果 124眼（93．93％）术中无疼痛，顺利完成手术：6眼（4．55％）有轻微疼痛及眨眼动作，追加表面麻醉剂1～2次，手术顺利完成；2眼（1．52％）疼痛明显，追加球周或球后麻醉，完成手术。术后视力及视野有所改善，或维持术前状况，眼部炎症反应轻。结论 表面麻醉联合结膜下浸润麻醉行青光眼滤过手术是安全可靠的，在临床上值得推广。Objective To evaluate the efficacy and safety of topical and subconjunctival anesthesia in filtration surgery on glaucoma patients. Methods All 109 eases （ 132 eyes ） of different glaucoma patients were given filtration surgery under topical anesthesia with 0.4% Benoxil and subconjunctival anaesthesia with 2% lidocaine 0.2 - 0.3ml. The effect of anesthesia and operative and postoperative complication were observed. Results The operation of 124 eyes（93.93% ） was completed smoothly and no pain occurred,6 eyes （4.55% ） operation a little pain occurred and topical anesthesia added, 2 eyes （1. 52% ） operation obvious pain occurred and retrobulbar anesthesia added. After operation, in all the 132 eyes, visual acuity and visual fields improved or remained unchanged, and only a little inflammation occurred. Conclusion During filtration surgery in different glaueoma patients,topieal and subeonjunctival anesthesia is proved to be safe and reliable.

关 键 词：表面麻醉 结膜下浸润麻醉 滤过手术 青光眼 

分 类 号：R775[医药卫生—眼科]