硅胶管插管前镇痛、镇静对鼻泪管狭窄患者疼痛的影响

IF 0.1 Q4 OPHTHALMOLOGY
Hwa Young Yu, Ga Hyun Lee
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引用次数: 0

摘要

目的:探讨获得性鼻泪管狭窄患者行局部麻醉硅胶管插管时术前镇痛和镇静对疼痛程度的影响。方法:回顾性分析2016年7月至2022年5月我院眼科121例患者的病历资料。总共71例患者口服对乙酰氨基酚和安定,其余50例患者不口服。比较两组患者术后疼痛(术后即刻采用视觉模拟评分法[VAS]评分[0 =无疼痛,10 =剧烈疼痛])、手术时间及显泪症状改善情况。结果:药物治疗前组VAS评分显著低于非药物治疗前组(5.23±2.75∶6.34±2.33,p = 0.02)。它也有明显更短的(p <(0.01)手术时间和显泪症状主观改善率较高。而术前用药对术后留置时间无影响(p = 0.86)。结论:硅胶管插管前给予镇痛、镇静药物能有效减轻手术疼痛,缩短手术时间。此外,它可能有助于改善术后表观症状。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effects of Analgesics and Sedatives before Silicone-tube Intubation on Patients’ Pain with Nasolacrimal Duct Stenosis
Purpose: We investigated the effect of preoperative administration of analgesics and sedatives on pain levels during silicone tube intubation conducted under local anesthesia in patients with acquired nasolacrimal duct stenosis.Methods: We retrospectively reviewed the medical records from 121 patients at the ophthalmology department of our hospital from July 2016 to May 2022. In total, 71 patients were administered acetaminophen and diazepam orally, while the remaining 50 were not. Postoperative pain (measured using the visual analogue scale [VAS] score [0 = no pain, 10 = severe pain] immediately after operation), operative duration, and improvement in epiphora symptoms were compared between the two groups.Results: The premedication group had significantly lower VAS scores than the non-premedication group (5.23 ± 2.75 vs. 6.34 ± 2.33, p = 0.02). It also had a notably shorter (p < 0.01) operation duration and higher subjective improvement rate of epiphora symptoms. However, premedication did not influence the tube retention period post-surgery (p = 0.86).Conclusions: The administration of analgesics and sedatives prior to silicone tube intubation effectively mitigates operative pain and reduces operation duration. Furthermore, it may help improve postoperative epiphora symptoms.
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CiteScore
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