目的:比较25G和27G玻璃体切割系统治疗累及黄斑区孔源性视网膜脱离的疗效、安全性及并发症。方法:回顾性分析2021-01/2023-12于我院首次诊断为孔源性视网膜脱离(脱离范围累及黄斑区)并且接受25G或27G玻璃体切割联合视网膜复位的患者60...目的:比较25G和27G玻璃体切割系统治疗累及黄斑区孔源性视网膜脱离的疗效、安全性及并发症。方法:回顾性分析2021-01/2023-12于我院首次诊断为孔源性视网膜脱离(脱离范围累及黄斑区)并且接受25G或27G玻璃体切割联合视网膜复位的患者60例60眼,根据术中使用玻璃体切割系统不同分为25G组30例30眼术中使用25G玻璃体切割系统进行手术操作;27G组30例30眼术中使用27G玻璃体切割系统进行手术操作。术后随访6 mo,比较两组患者手术前后最佳矫正视力(BCVA)、眼压、手术操作时间、视网膜复位情况、并发症。结果:27G组患者平均手术时间略长于25G组(40.20±7.52 vs 36.97±7.47 min),25G组术中出现切口渗漏7眼(23%)高于27G组1眼(3%),但两组间无差异(P>0.05)。术后6 mo,27G组和25G组患者BVCA(LogMAR)(0.37±0.19 vs 0.40±0.17)均较术前(0.98±0.32 vs 0.84±0.33)改善(均P<0.05),两组间术后BCVA无差异(P>0.05)。术后1 d时25G组平均眼压(12.29±2.86 mmHg)低于27G组(15.87±3.70 mmHg,P<0.001),术后1 wk,1 mo时两组间平均眼压比较均无差异(均P>0.05)。两组患者术后不同时间视网膜复位情况,术中与术后并发症比较均无差异(均P>0.05)。结论:25G和27G玻璃体切割术是一种安全有效的治疗孔源性视网膜脱离方法。但27G玻璃体切割系统具有切口小、自闭性好、眼压稳定等优势。展开更多
目的:探讨多方联动目标分类干预对25G微创玻璃体切割术患者干预后心理状态、认知度的影响。方法:选择2020年1月-2023年6月笔者医院收治的80例预接受25G微创玻璃体切割术的患者为研究对象,采用随机摸红白球的方式,分为观察组(红球,40例)...目的:探讨多方联动目标分类干预对25G微创玻璃体切割术患者干预后心理状态、认知度的影响。方法:选择2020年1月-2023年6月笔者医院收治的80例预接受25G微创玻璃体切割术的患者为研究对象,采用随机摸红白球的方式,分为观察组(红球,40例)和对照组(白球,40例)。对照组实施常规护理干预,观察组在常规护理的基础上,采用多方联动目标分类干预。采用自评焦虑量表(Self-rating anxiety scale,SAS)和美容心理状态自评量表(Cosmetic mental states self-scale,CMSS)评价两组干预前后心理状态,采用世界卫生组织生活质量评估量表(World health organization quality of life brief scale,WHOQOL-BREF)评价生活质量,采用自我护理能力评估表(Exercise of self-care agency scale,ESCA)评价自护能力,对比两组患者认知度达标率(手术知识、风险和并发症及处理措施)差异。结果:干预后,观察组SAS、CMSS评分低于对照组(P<0.05),观察组WHOQOL-BREF中生理健康和心理状态评分高于对照组,两组独立能力和环境条件评分比较差异无统计学意义(P<0.05)。干预后,观察组ESCA评分高于对照组(P<0.05),观察组对手术认知、风险和并发症方面认知度达标率高于对照组(P<0.05)。结论:对25G微创玻璃体切割术患者干预后进行多方联动目标分类干预可以改善其心理状态、生活质量,并提高自护能力和认知度达标率。展开更多
Objective:To investigate the efficacy and safety of combined spinal-epidural(CSE)anesthesia using a 25G spinal fine needle via a single puncture for lower limb surgery in children.Methods:Sixty pediatric patients sche...Objective:To investigate the efficacy and safety of combined spinal-epidural(CSE)anesthesia using a 25G spinal fine needle via a single puncture for lower limb surgery in children.Methods:Sixty pediatric patients scheduled for surgery were randomly divided into two groups,with 30 patients in each.The control group received subarachnoid anesthesia with 2–2.5 mL of 0.33%ropivacaine.The experimental group received the same ropivacaine dose,followed by withdrawal of the needle to the epidural space and administration of 0.1 mg hydromorphone diluted to 5 mL.The anesthetic and analgesic effects,incidence of complications,and postoperative family satisfaction were observed in both groups.Results:Compared with the control group,the experimental group showed a higher anesthesia success rate,a shorter onset time,and a longer maintenance time of anesthesia(p<0.05).Postoperative analgesia at various time points was significantly better in the experimental group(p<0.05).The total incidence of complications was lower in the experimental group,though the difference was not statistically significant(p>0.05).Family satisfaction was significantly higher in the experimental group(p<0.05).Conclusion:CSE anesthesia using a 25G fine needle via a single puncture for pediatric lower limb surgery is safe and effective.It can significantly improve surgical outcomes and is worthy of clinical promotion.展开更多
文摘目的:比较25G和27G玻璃体切割系统治疗累及黄斑区孔源性视网膜脱离的疗效、安全性及并发症。方法:回顾性分析2021-01/2023-12于我院首次诊断为孔源性视网膜脱离(脱离范围累及黄斑区)并且接受25G或27G玻璃体切割联合视网膜复位的患者60例60眼,根据术中使用玻璃体切割系统不同分为25G组30例30眼术中使用25G玻璃体切割系统进行手术操作;27G组30例30眼术中使用27G玻璃体切割系统进行手术操作。术后随访6 mo,比较两组患者手术前后最佳矫正视力(BCVA)、眼压、手术操作时间、视网膜复位情况、并发症。结果:27G组患者平均手术时间略长于25G组(40.20±7.52 vs 36.97±7.47 min),25G组术中出现切口渗漏7眼(23%)高于27G组1眼(3%),但两组间无差异(P>0.05)。术后6 mo,27G组和25G组患者BVCA(LogMAR)(0.37±0.19 vs 0.40±0.17)均较术前(0.98±0.32 vs 0.84±0.33)改善(均P<0.05),两组间术后BCVA无差异(P>0.05)。术后1 d时25G组平均眼压(12.29±2.86 mmHg)低于27G组(15.87±3.70 mmHg,P<0.001),术后1 wk,1 mo时两组间平均眼压比较均无差异(均P>0.05)。两组患者术后不同时间视网膜复位情况,术中与术后并发症比较均无差异(均P>0.05)。结论:25G和27G玻璃体切割术是一种安全有效的治疗孔源性视网膜脱离方法。但27G玻璃体切割系统具有切口小、自闭性好、眼压稳定等优势。
文摘目的:探讨多方联动目标分类干预对25G微创玻璃体切割术患者干预后心理状态、认知度的影响。方法:选择2020年1月-2023年6月笔者医院收治的80例预接受25G微创玻璃体切割术的患者为研究对象,采用随机摸红白球的方式,分为观察组(红球,40例)和对照组(白球,40例)。对照组实施常规护理干预,观察组在常规护理的基础上,采用多方联动目标分类干预。采用自评焦虑量表(Self-rating anxiety scale,SAS)和美容心理状态自评量表(Cosmetic mental states self-scale,CMSS)评价两组干预前后心理状态,采用世界卫生组织生活质量评估量表(World health organization quality of life brief scale,WHOQOL-BREF)评价生活质量,采用自我护理能力评估表(Exercise of self-care agency scale,ESCA)评价自护能力,对比两组患者认知度达标率(手术知识、风险和并发症及处理措施)差异。结果:干预后,观察组SAS、CMSS评分低于对照组(P<0.05),观察组WHOQOL-BREF中生理健康和心理状态评分高于对照组,两组独立能力和环境条件评分比较差异无统计学意义(P<0.05)。干预后,观察组ESCA评分高于对照组(P<0.05),观察组对手术认知、风险和并发症方面认知度达标率高于对照组(P<0.05)。结论:对25G微创玻璃体切割术患者干预后进行多方联动目标分类干预可以改善其心理状态、生活质量,并提高自护能力和认知度达标率。
文摘Objective:To investigate the efficacy and safety of combined spinal-epidural(CSE)anesthesia using a 25G spinal fine needle via a single puncture for lower limb surgery in children.Methods:Sixty pediatric patients scheduled for surgery were randomly divided into two groups,with 30 patients in each.The control group received subarachnoid anesthesia with 2–2.5 mL of 0.33%ropivacaine.The experimental group received the same ropivacaine dose,followed by withdrawal of the needle to the epidural space and administration of 0.1 mg hydromorphone diluted to 5 mL.The anesthetic and analgesic effects,incidence of complications,and postoperative family satisfaction were observed in both groups.Results:Compared with the control group,the experimental group showed a higher anesthesia success rate,a shorter onset time,and a longer maintenance time of anesthesia(p<0.05).Postoperative analgesia at various time points was significantly better in the experimental group(p<0.05).The total incidence of complications was lower in the experimental group,though the difference was not statistically significant(p>0.05).Family satisfaction was significantly higher in the experimental group(p<0.05).Conclusion:CSE anesthesia using a 25G fine needle via a single puncture for pediatric lower limb surgery is safe and effective.It can significantly improve surgical outcomes and is worthy of clinical promotion.
