白内障病人双眼手术中疼痛和配合度的比较  

Comparison of pain experience and compatibility between consecutive surgeries in patients with bilateral cataract

作　　者：季青山[1] 孙思勤[1] 温跃春[1] 

机构地区：[1]安徽医科大学附属省立医院眼科,安徽合肥230001

出　　处：《安徽医药》2017年第7期1209-1212,共4页Anhui Medical and Pharmaceutical Journal

基　　金：安徽省自然科学基金(1508085SQH221)

摘　　要：目的探讨双眼白内障病人第一眼和第二眼术中疼痛和配合度的差异。方法纳入双眼白内障病人157例,所有手术采用表面麻醉下透明角膜切口白内障超声乳化方式,双眼白内障选择其中较重的眼先行手术,在7 d内再行另外一只眼。术后立即使用视觉模拟评分法(VAS)评估术中疼痛,手术者手术中评估病人术中配合度。结果第一眼术中VAS疼痛评分与第二眼术中VAS评分比较差异有统计学意义(Z=-7.38,P<0.001)。第一眼术中配合度评分与第二眼术中配合度评分比较差异有统计学意义(Z=-6.615,P<0.001)。结论双眼白内障病人第二眼较第一眼术中疼痛明显,且配合度差。Objective To compare pain experience and compliance between first and second cataract extractions in patients with bilateral cataract.Methods In this study,157 patients with bilateral senile cataracts were recruited.All operations were performed using a clear corneal phacoemulsification technique and topical anesthesia.The first surgery was performed on the eye with the higher grade cataract.The other eye was operated on within 7 days.Every patient was graded using a visual analogue scale （VAS） after the surgery.The compliance of the patient was graded by the surgeon.Resluts There were significant differences in pain score and compliance score between the first and second cataract surgeries （Z=-7.38,P〈 0.001;Z=-6.615,P〈0.001 respectively）.Conclusions Patients who previously underwent phacoemulsification surgery on one eye experience more pain and showed worse compliance during the phacoemulsification surgery on the second eye.

关 键 词：白内障 超声乳化 人工晶体植入 疼痛 配合度 

分 类 号：R779.66[医药卫生—眼科]