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目的 分析儿童眼前段激光治疗前麻醉与镇静的效果。方法 将 42 6例患儿按年龄分组 ,对眼前段激光治疗前麻醉与镇静的方法及效果行回顾性统计分析。结果 患儿中 2 97例 (69 72 % )单用地卡因表面麻醉下接受激光治疗 ,其余 1 2 9例不合作的患儿 66例 (5 1 1 6% )口服水合氯醛镇静后能接受激光治疗 ;其镇静效果与年龄呈负直线相关 (r = 0 97,P <0 0 0 1 ) ,婴儿组水合氯醛镇静效果优于学龄前组 (χ2 =7 3 0 ,P <0 0 1 )。表面麻醉接受激光治疗的成功率学龄组优于学龄前组 (χ2 =1 3 8 2 6,P<0 0 0 1 )。结论 在眼前段激光治疗前口服水合氯醛镇静婴儿组效果安全有效 ,学龄前组镇静效果欠佳 ,学龄组表面麻醉下基本能接受激光治疗。
Objective To analyze the effect of anesthesia and sedation before laser treatment in children. Methods A total of 426 children were divided into groups according to age and retrospectively analyzed the methods and effects of anterior segment anesthesia and sedation before laser treatment. RESULTS: A total of 2 97 children (69 72%) received laser treatment under the surface anesthesia with dexamethasone alone and 66 of the remaining 129 uncooperative children (51 16%) received oral chloral hydrate after sedation (R = 0 97, P <0.01). The sedation effect of chloral hydrate in infants was better than that in preschool age group (χ2 = 70.0, P <0.01) ). The success rate of surface anesthesia receiving laser treatment was better in the preschool age group than in the preschool age group (χ2 = 13 826, P <0.01). Conclusions Oral chloral hydrate before sedation in the anterior segment of the eye is safe and effective. The effect of sedation in the preschool group is not good. The sedentary group can basically receive laser treatment under surface anesthesia.