不同表面麻醉方式在泪道冲洗中的效果比较  

Effect of Various Means of Surface Anaesthesia in Syringing of Lacrimal Passages:A Comparison of Outcomes

作　　者：江莉萍[1] 严学军[1] 何英[1] 

机构地区：[1]浙江医院眼科,杭州310013

出　　处：《解放军护理杂志》2007年第07A期20-21,共2页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的探讨不同的表面麻醉方式在泪道冲洗中的效果及其影响。方法选取慢性泪囊炎患者81例,按入院先后随机分为观察组41例和对照组40例。观察组采用蘸有0.4%盐酸奥布卡因滴眼剂(商品名:倍诺喜)滴眼液的小棉签,夹在患眼内眦部上下泪点之间,表面麻醉3～5 min;对照组则采用泪阜区滴0.4%盐酸奥布卡因滴眼剂1～2滴作表面麻醉。观察两种不同表面麻醉方式的效果及其影响。结果两组患者采用不同的表面麻醉方式在角膜损伤、疼痛、血压、脉搏等方面的差异有统计学意义(P<0.05)。结论观察组采用的表面麻醉方式能使药物发挥较好疗效,同时减少对眼表面所造成的不良反应。Objective To evaluate the effect of different means of surface anaesthesia in syringing of lacrimal passages. Methods Eighty-one patients with chronic dacryocystitis were randomly divided into 2 groups：experimental group （41 patients） and control group （40 patients）. Patients in experimental group were treated with cotton swab filled with 0.4 % Benoxil eye drop into conjunctival sac between superior and inferior lacrimal puctum for 3 ～5 minutes and those in the control group were treated with dripping 0.4～Benoxil eye drop into the conjuctival sac. The effect of different means of surface anaesthesia was investigated. Results The corneal injury, pain, blood pressure and pulse were significantly different between the 2 groups（ P〈0.05）. Conclusion Cot- ton swab filled with Benoxil into conjunctival sac between superior and inferior lacrimal puctun has better anaesthetic effect in syringing of lacrimal passages and less side effect.

关 键 词：表面麻醉 泪道冲洗 泪囊炎 

分 类 号：R473.77[医药卫生—护理学]