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首页> 外文期刊>Journal of Clinical Sciences >Regional anesthesia for small incision cataract surgery: Comparison of subtenon and peribulbar block
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Regional anesthesia for small incision cataract surgery: Comparison of subtenon and peribulbar block

机译：小切口白内障手术的区域麻醉：筋膜下和眼球周围阻滞的比较

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Background and Objective: The recent trend in cataract surgery is the use of regional ophthalmic nerve blocks or topical anesthesia. We determined and compared the effect of peribulbar and subtenon block on pain and patients' satisfaction, following small incision cataract surgery (SICS). Methods: This was age-sex-matched comparative study involving 462 ASA I-III patients, aged 18 years and above scheduled for SICS. They were assigned to receive either peribulbar block (Group P) or subtenon (Group ST). The pain score and patients' satisfaction with the anesthetic experiences were recorded by a study-masked anesthesiologist during surgery and postoperatively at 30 min and 1, 2, 4, and 24 h. Results: The median numeric rating score was significantly lower in the subtenon group than the peribulbar group: During surgery, Group ST 1 (1) versus group P 1.5 (2.25), P P P = 0.002. Ten patients had akinesia in the peribulbar group compared with one in the subtenon group. Chemosis was significantly higher in the subtenon group 10 (3.2%) than in the peribulbar group 0 (0%), P = 0.035. Similarly, a significant difference was not with subconjuctival hemorrhage; subtenon 14 (4.5%) versus peribulbar 2 (1.3%), P = 0.105. Conclusion: The use of subtenon block resulted in lower pain scores and higher patient's satisfaction than peribulbar block. However, subconjuctival hemorrhage and chemosis were more common with subtenon block.
机译：背景与目的：白内障手术的最新趋势是使用局部眼科神经阻滞或局部麻醉。我们确定并比较了小切口白内障手术（SICS）后眼球和筋膜下阻滞对疼痛和患者满意度的影响。方法：这是一项年龄性别匹配的比较研究，涉及SICS计划的462名18岁及以上的ASA I-III患者。他们被分配接受球周神经阻滞（P组）或次腱（ST组）。在手术期间以及术后30分钟，1、2、4和24小时，由一名戴着面具的麻醉医师记录疼痛评分和患者对麻醉体验的满意度。结果：亚腱组的中位数字评分明显低于球周组：手术期间，ST 1组（1）比P 1.5组（2.25），P P P = 0.002。眼球周围组有10例运动不全，而腱下组只有1例。亚腱10组（3.2％）的化学反应显着高于球周皮0组（0％）的化学变化，P = 0.035。同样，结膜下出血也没有显着差异。次腱14（4.5％）与球周2（1.3％），P = 0.105。结论：使用筋膜下阻滞比使用睑球下阻滞可降低疼痛评分并提高患者满意度。然而，结膜下出血和化学反应更常见于亚腱下阻滞。

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