眼位训练仪在表面麻醉白内障手术中的应用效果

Clinical outcomes applying eye position training apparatus to patients following cataract surgery by topical anesthesia

目的:探讨表面麻醉白内障手术患者术前使用眼位训练仪训练眼位的效果。方法:将2018年4月~2019年3月弋矶山医院眼科80例需进行眼位训练的表面麻醉白内障手术患者分为观察组40例和对照组40例;对照组术前使用传统方法进行术前宣教,不进行眼球下转位训练,观察组术前使用眼位训练仪,进行眼球下转位训练。对两组患者术中一次性眼球下转位固视时长、术中因眼位配合不佳导致手术操作暂停次数进行分析。结果:观察组术中一次性眼球下转位固视时长大于对照组(P<0.05);术中操作暂停的次数少于对照组(P<0.05)。结论:表面麻醉白内障手术患者术前使用眼位训练仪进行眼位训练可以提高手术的时效性,减少手术感染的发生率,增强患者对医生、医院的依从性和信任,提高了病人的满意度,具有一定的临床实践意义。

Objective:To assess the efficacy of eye position training apparatus for training of eye position in patients after cataract surgery by topical anesthesia.Methods:Eighty patients(80 eyes)undergone cataract surgery in our department,requiring eye position training,were enrolled in the study from January to December 2019,and assigned to observational group(n=40)and control group(n=40).Patients in the control group received simple conventional training of the eye positioning before surgery,while those in the observational group were trained using the eye position training apparatus.Then the two groups were analyzed concerning the duration of one-off fixation of one eye and the number of procedure pausing from poor eye position coordination during operation.Results:Patients in the observational group had longer duration of downward position of the eyeball at one-time fixation,and fewer intraoperative suspension than those in the control group(both P<0.05).Conclusion:Eye position training apparatus has clinical significance,because it may improve the efficiency of operation,reduce the incidence of surgical complications,enhance the trust and compliance of patients to doctor as well as patient′s satisfaction in patients undergoing cataract surgery by topical anesthesia.