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首页> 外文期刊>British journal of ophthalmology >Randomised controlled trial of sub-Tenon's block versus topical anaesthesia for cataract surgery: a comparison of patient satisfaction.
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Randomised controlled trial of sub-Tenon's block versus topical anaesthesia for cataract surgery: a comparison of patient satisfaction.

机译：Tenon阻滞与局部麻醉用于白内障手术的随机对照试验：患者满意度的比较。

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BACKGROUND/AIM: Sub-Tenon's block (STB) or topical anaesthesia alone (TOP) are popular techniques employed during cataract surgery. TOP is often preferred by healthcare providers because of financial or staffing reasons, despite existing evidence that pain during surgery is better controlled with STB. Pain is not the only consideration that determines patient preference for the anaesthesia technique. The authors decided to investigate the issue of patient satisfaction using the recently developed Iowa Satisfaction with Anesthesia Scale (ISAS). METHOD: In a randomised controlled pilot trial, 28 patients were enrolled to receive either STB with 3 ml of 2% lidocaine and hyaluronidase, or TOP with proxymetacaine 0.5% and amethocaine 1% (Tetracaine) eye drops. Postoperatively patients rated their satisfaction with anaesthesia care by filling in the self administered written questionnaire, the ISAS. RESULTS: One patient in the TOP group dropped out of the study because of intolerable pain. Analysis of the questionnaire results with a two sample Wilcoxon rank sum test showed a significant difference in patient satisfaction (p<0.0085). The median satisfaction score was higher in the STB group 2.77 (interquartile range IQR 2.45 to 3), than in the TOP group 2.04 (IQR 1.54 to 2.5). CONCLUSION: In the setting of day case cataract surgery, patients report significantly higher satisfaction scores with STB than with TOP alone.
机译：背景/目的：白内障手术（STB）或仅局部麻醉（TOP）是白内障手术中常用的技术。尽管有证据表明STB可以更好地控制手术过程中的疼痛，但出于经济或人员配备的原因，TOP通常被医疗保健提供者所首选。疼痛并不是决定患者对麻醉技术的偏爱的唯一考虑因素。作者决定使用最近开发的爱荷华州麻醉评定量表（ISAS）对患者满意度进行调查。方法：在一项随机对照试验中，纳入28例接受STB含3 ml 2％利多卡因和透明质酸酶的机顶盒，或接受TOP含0.5％替米卡因和1％甲胺卡因（四卡因）的眼药水。术后患者通过填写自我管理的书面调查表ISAS评估其对麻醉护理的满意度。结果：TOP组中的一名患者由于无法忍受的疼痛而退出研究。用两个样本的Wilcoxon秩和检验对问卷结果进行分析表明，患者满意度存在显着差异（p <0.0085）。 STB组2.77（四分位间距IQR为2.45至3）高于TOP组2.04（IQR为1.54至2.5），其中位满意度得分更高。结论：在日间白内障手术的情况下，患者报告机顶盒的满意度得分明显高于单独使用TOP。

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