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題 名 | Evaluation of Peribulbar Anesthesia in Encircling Scleral Buckle Surgery and Its Postoperative Pain Course=眼球週邊注射麻醉對視網膜剝離手術及術後疼痛痛程之評估 |
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作 者 | 賴旗俊; 楊伯仁; 楊克仁; 莊蘭馨; 陳墩祿; | 書刊名 | 長庚醫學 |
卷 期 | 22:4 1999.12[民88.12] |
頁 次 | 頁609-614 |
分類號 | 416.746 |
關鍵詞 | 眼球週邊注射麻醉; 環狀鞏膜外扣環術; 視覺類比計分表; Peribulbar anesthesia; Encircling scleral backling; Visual analogue scale; VAS; |
語 文 | 英文(English) |
中文摘要 | 背景:球後注射麻醉術在眼科手術中被視為有效的方法,而且被大量使用,但是 它會產生一些嚴重的併發症。我們利用球週麻醉術,合併sub-Tenon灌注來實行鞏膜外扣環 術,這種方法可降低因球後注射所產生的併發症,為了了解術後疼痛的過程,我們也紀錄了 術後72小時,病人的疼痛情形。 方法:我們一共收集了30個裂孔性視網膜剝離的病人,施以環狀鞏膜外扣環術。每位病人皆 以球週麻醉術並視情況給予sub-Tenon灌注,我們並利用視覺類比計分表(VAS)來評估病人術 後的疼痛,並在術後30分鐘及l、2、4、6、12、24、48、72小時記錄之。 結果:24位病人(80%)只需術前一次球週注射,即可完成麻醉,其它6位(20%)則需sub-Tenon 灌注才能完成手術,手術過程平順,並無嚴重的併發症發生。術後疼痛在6小時達到高峰。 有26位病人(86.7%)感到疼痛,其中有12位(40%)是不舒服的疼痛。48小時之後,雖然仍有 9位病人(30%)感到疼痛,但只是輕微的疼痛。 結論:眼球週邊注射麻醉可被安全而有效地應用在視網膜剝離手術中的環狀鞏膜外扣環術, 術後疼痛在6小時後達到高峰,48小時後疼痛緩解。 |
英文摘要 | Background: Retrobulbar anesthesia is considered effective in ocular surgery but it can give rise to serious complications. We used peribulbar anesthesia with sub-Tenon's irrigation to perform encircling scleral buckling for retinal detachment, as it could reduce the complications caused by retrobulbar anesthesia. We also recorded the course of pain for 72 hours after surgery. Methods: Thirty patients who were diagnosed with rhegmatogenous retinal detachment were treated with an encircling scieral buckle. The surgery was performed with peribulbar anesthesia with occasional sub-Tenon's irrigation. We evaluated the patient's pain with a visual analogue scale after surgery at 30 minutes, 1 hour, 2 hours, 4 hours, 6 hours, 12 hours, 24 hours, 48 hours, and 72 hours. Results: In 24 cases (80%), the anesthesia was complete with the peribulbar block. Only 6 patients (20%) needed sub-Tenon's irrigation and four of them felt no pain after augmentation. Although all the surgical procedures proceeded without problem, two of the patients felt pain and were uncomfortable during the surgery. No serious complications occurred. The course of pain peaked 6 hours after surgery when 26 patients (86.7%) felt pain and 12 patients (40%) were uncomfortable (pain score ≧ 5). Forty-eight hours after surgery, 9 patients (30%) still felt pain but no one felt uncomfortable. Conclusion: Peribulbar anesthesia can be used safely in encircling scleral buckling for retinal detachment. The postoperative pain is maximal 6 hours after surgery and becomes mild (pain score ≦ 4) after 48 hours. |
本系統中英文摘要資訊取自各篇刊載內容。