内眼术后冷敷的实验和临床应用研究

The Experimental and Clinical Study on the Cold Compress after Endophthalmic Surgery

为探讨内眼术后冷敷方法并观察其临床效果，采用自制的９５％ 乙醇冰袋和７０ ％ 甘油冰袋（－ ２０ ℃） ，在动物实验的基础上，于１９９６ 年１ 月至１９９７ 年１２ 月对３０ 例白内障、青光眼手术后病人行冷敷３０ 眼（ 各１２０ ｍｉｎ） ，并与未冷敷的３０ 眼对照。结果，冷敷组病人的舒适程度、眼部刺激征和房水混浊程度均较未冷敷组明显减轻。乙醇、甘油冰袋价廉易取，内眼术后冷敷可明显减轻术眼的炎性反应。

To investigate the appropriate cold compress method after endophthalmic surgery and observe its clinical effect, the cold compress of 6 rabbit eyes was experimentally performed with ice cold mask (-20 ℃) made by ourselves. On the basis of the experiment, 30 eyes of 30 cases of cataract or glaucoma after operation underwent the cold compress for 120 min and other 30 eyes as control group did not. The result showed that the symptoms, stimulus signs and aqueous humor turbidity of the eyes in the cold compress group were markedly improved as compared with those in the control group ( P <0.01). It was concluded that cold compress with alcohol or glycerin which is cheap and easily used could markedly decrease the inflammation of the operated eye.