新生血管性青光眼手术患者快速康复理念下的疼痛管理

Enhanced recovery after surgery guided pain management for patients receiving neovascular glaucoma surgery

目的探讨快速康复(ERAS)理念下的新生血管性青光眼手术患者疼痛管理的效果。方法将116例新生血管性青光眼行睫状体冷凝术患者按随机数字表法分为ERAS组和对照组各58例,分别接受ERAS的疼痛管理和常规疼痛护理。结果两组术后不同时间疼痛程度、疼痛护理满意度及首次进食时间、下床时间、住院时间比较,差异有统计学意义(均P<0.01)。结论基于ERAS理念对新生血管性青光眼手术患者进行疼痛管理,能有效减轻患者疼痛,提高患者对疼痛护理的满意度,加速疾病康复进程。

Objective To explore the effect of enhanced recovery after surgery（ERAS）guided pain management for patients receiving neovascular glaucoma surgery.Methods A total of 116 patients to receive cyclocryotherapy for neovascular glaucoma were evenly divided into an ERAS group and a control group according to the random number table.The control group received routine pain care,and while the ERAS group received ERAS guided pain management in addition to routine measures.Results There were significant differences between two groups regarding pain scores at different post-operative time points,satisfaction with pain control,the time to first meal post-operatively,the time to get out of bed,and the length of hospitalization（P〈0.01 for all）.Conclusion ERAS guided pain management can effectively alleviate pain for patient receiving neovascular glaucoma surgery,which can improve patient satisfaction and accelerate patient recovery.