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首页> 外文期刊>BMC Ophthalmology >A comparison between topical and retrobulbar anesthesia in 27-gauge vitrectomy for vitreous floaters: a randomized controlled trial
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A comparison between topical and retrobulbar anesthesia in 27-gauge vitrectomy for vitreous floaters: a randomized controlled trial

机译：玻璃体玻璃体玻璃体切除术中的局部和抬喉筋麻醉的比较：随机对照试验

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To compare the safety and efficacy of topical anesthesia versus retrobulbar anesthesia in 27-gauge pars plana vitrectomy (PPV) for vitreous floaters. 30 patients with vitreous floaters were randomized into Group T (topical anesthesia, proparacaine eye drop) and Group R (retrobulbar anesthesia), and underwent 27-gauge PPV. A 5-point visual analogue pain scale (VAPS) was used to assess patients' pain experience of anesthesia and surgery procedure (during surgery, 2?h and 1?day after surgery). The VAPS of anesthesia procedure was 1.27?±?0.59 for patients in Group R, while it was all 0 for patients in Group T (p??0.001). There was no significant difference for VAPS during surgery (Group T: 1.13?±?0.74, Group R: 0.67?±?0.62, p?=?0.67), 2?h (Group T: 0.80?±?1.01, Group R: 0.67?±?0.62, p?=?0.67) and 1?day (Group T: 0.20?±?0.41, Group R: 0.27?±?0.46, p?=?0.68) after surgery between these two groups. Only one patient (6.7%) in Group T required additional topical anesthesia during the surgery. Most of the patients reported the pain experience came from initial trocar insertion in both groups. None of the patients required post operative analgesia in both groups. No intraoperative or postoperative complications were noted in both groups. This study suggested that topical anesthesia is a safe and effective anesthetic approach for patients with floaters who underwent 27-gauge PPV. ClinicalTrials.gov NCT03049163 . Registered 8 February 2017.
机译：比较局部麻醉的安全性和疗效与27型格的玻璃玻璃玻璃玻璃体（PPV）对玻璃体浮子的安全性和疗效。将30名玻璃浮渣患者随机分为T（局部麻醉，丙粉蛋白滴眼液）和r（retrobulbar麻醉），并进行27尺度PPV。 5点视觉模拟疼痛量表（VAPS）用于评估麻醉和手术程序的患者的疼痛经验（手术期间，2？H和手术后1日）。对于r组的患者，麻醉程序的VAP为1.27？±0.59，而G组患者则为所有0（p？<0.001）。手术期间VAP没有显着差异（组：1.13？±0.74，组R：0.67？±0.62，P？= 0.67），2？H（组T：0.80？±±1.01，Group r ：0.67？±0.62，p？= 0.67）和1？日（组T：0.20？±0.41，组R：0.27？±0.46，P？= 0.68）在这两组之间进行手术后。在T组中只有一个患者（6.7％）在手术期间需要额外的局部麻醉。大多数患者报告疼痛经验来自两个组中的初始套管针。没有患者在这两个群体中需要术后镇痛。在这两组中没有注意到术中或术后并发症。本研究表明，局部麻醉是一种安全有效的漂浮剂患者的麻醉方法，用于漂浮物的漂浮剂，持续的27尺PPV。 ClinicalTrials.gov NCT03049163。注册2017年2月8日。

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