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Clinical study of acupuncture combined with surface anesthesia using proparacaine in geriatric cataract phacoemulsification

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World Journal of Clinical Cases 2023年第21期11卷 5073-5082页

作者： Ping Dong Li-Fang Wang Li-Xiang Zhang Fang Li Hui-Su Yin Zhi-Xia Dou Xiu-Ju Huang Rui Xu Wu-Lin Zhang Department of Acupuncture and Rehabilitation Hebei Eye HospitalXingtai 054001Hebei ProvinceChina Department of Surgical anesthesia Hebei Eye HospitalXingtai 054001Hebei ProvinceChina Department of Pediatrics Hebei General Hospital For VeteransXingtai 054000Hebei ProvinceChina Department of Science and Education Hebei Eye HospitalXingtai 054001Hebei ProvinceChina Department of Ocular Trauma Hebei Eye HospitalXingtai 054001Hebei ProvinceChina Department of Cataract Hebei Eye HospitalXingtai 054001Hebei ProvinceChina

BACKGROUND During anesthesia administration for cataract surgery,low pH of proparacaine may induce pain or complications such as corneal damage and poor wound healing,with the use of additional drops intraoperatively increasing the risk of ***,there is a clinical need for adjuncts to local anesthesia needs to improve the efficiency of anesthesia and reduce the required amount of intraoperative *** To identify a method of anesthesia for geriatric cataract phacoemulsification that provides more efficient analgesia and improves clinical *** A total of 130 geriatric patients with cataracts who attended Hebei Eye Hospital from December 2020 to December 2022 were included in the present *** were divided into the proparacaine surface anesthesia(SA)group(65 cases)and the compound acupuncture-medicine anesthesia group(CAMA group,65 cases).Patients in the CAMA group were provided acupuncture analgesia in addition to *** anxiety[Self-Rating Anxiety Scale(SAS)score and state anxiety inventory(SAI)score],intraoperative stress,vital signs,analgesia,and cooperation,as well as postoperative adverse events,were compared between *** More marked reductions in anxiety were observed among patients in the CAMA group,with corresponding reductions in SAS and SAI *** the operation,no change in the secretion of E,NE,or Cor group compared to the preoperative period was observed in the CAMA,which was markedly lower than that in the SA *** rate,blood pressure,and respiratory rate were more stable intraoperatively in the CAMA *** addition,the incidence of intraoperative pain and the number of additional doses of anesthesia required in the CAMA group were markedly lower than in the SA ***,patients in the CAMA group were able to avoid eye movements and eyelid closing leading to greater cooperation with surgeons during ***,marked reductions in intraoperative adverse

关键词： Acupuncture analgesia Proparacaine surface anesthesia Cataract Phacoemulsification Analgesic effect

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