前瞻性队列研究,调查屈光手术后 1 天内急性疼痛的频率和风险因素。

IF 2 Q2 OPHTHALMOLOGY
Jason Betz, Elyana Vittoria Tessa Locatelli, Brooke M Harkness, Maricarmen Perez-Blanco, Steven J Everist, Siting Chen, Richard Stutzman, Winston Chamberlain, Afshan Nanji, Jodi Lapidus, Sue A Aicher, Anat Galor
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引用次数: 0

摘要

背景/目的研究与屈光手术后 1 天眼部疼痛相关的人口统计学和临床因素:方法:对接受屈光手术的患者进行前瞻性研究。参与者在术前和术后 1 天用 0-10 数字评分量表(NRS)对眼部疼痛进行评分。手术前,受试者填写了有关人口统计学、合并症、药物、干眼症和眼痛症状的问卷;并进行了麻醉施尔默试验。术后 1 天的急性眼痛定义为手术后最严重疼痛的 NRS 评分≥3 分,并将该组患者与 NRS 评分为 3 分的患者进行比较。结果:251 人接受了屈光手术(89% 为激光辅助原位角膜磨镶术,222 人;11% 为 PRK,29 人)。平均年龄为 35±8 岁(19 至 60 岁不等);60%(n=150)自我认同为女性,80%(n=203)为白人,36%(n=89)为西班牙裔。13人(5%)在手术前报告眼部疼痛(NRS≥3),67%(n=168)在手术后1天报告眼部疼痛(9人在两个时间点都有疼痛)。与术后 1 天疼痛相关的因素包括西班牙裔(调整后相对风险 (aRR) 1.42,95% CI 1.21 至 1.68,pConclusion):大多数人在屈光手术后 24 小时内会出现中度或更严重的疼痛。西班牙裔和手术前眼部疼痛与自我报告的手术后急性疼痛有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prospective cohort study investigating frequency and risk factors for acute pain 1 day after refractive surgery.

Background/aims: To examine demographic and clinical factors associated with ocular pain 1 day after refractive surgery.

Methods: Prospective study of individuals undergoing refractive surgery. Participants rated their ocular pain on a 0-10 numerical rating scale (NRS) presurgery and 1 day after surgery. Presurgery, participants completed questionnaires on demographics, comorbidities, medications and dry eye and ocular pain symptoms; and an anaesthetised Schirmer test was performed. Acute ocular pain 1 day after surgery was defined as an NRS score of worst pain since surgery ≥3 and this group was compared with individuals with NRS scores<3.

Results: 251 individuals underwent refractive surgery (89% laser-assisted in situ keratomileusis, n=222; 11% PRK, n=29). Mean age was 35±8 years (range 19 to 60); 60% (n=150) self-identified as female, 80% (n=203) as White, and 36% (n=89) as Hispanic. Thirteen (5%) individuals reported ocular pain (NRS ≥3) prior to surgery and 67% (n=168) reported ocular pain 1 day after surgery (nine individuals had pain at both time points). Factors that were associated with pain 1 day after surgery included Hispanic ethnicity (adjusted relative risk (aRR) 1.42, 95% CI 1.21 to 1.68, p<0.001) and the presence of eye pain presurgery (aRR 1.10, 95% CI 1.02 to 1.18, p=0.02).

Conclusion: A majority of individuals report moderate or greater pain within 24 hours of refractive surgery. Hispanic ethnicity and eye pain prior to surgery were associated with self-reported acute postsurgical pain.

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来源期刊
BMJ Open Ophthalmology
BMJ Open Ophthalmology OPHTHALMOLOGY-
CiteScore
3.40
自引率
4.20%
发文量
104
审稿时长
20 weeks
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