Clinical Study of Acupuncture Combined with Promecaine Surface Anesthesia for Senile Cataract Operation
Objective To analyze the effect of acupuncture combined with promecaine surface anesthesia in senile cataract sur-gery.Methods A total of 100 elderly patients undergoing elective cataract surgery from February 2019 to January 2020 were in-cluded in the study and divided into two groups by random number table method.Fifty patients in the control group received topi-cal anesthesia with promecaine hydrochloride and fifty patients in the observation group received acupuncture combined with topi-cal anesthesia with promecaine.Blood pressure,heart rate,oxygen saturation(SPO2),ramsay sedation score,pain score and anxi-ety before and after surgery were compared between the two groups at each time point.Results After anaesthe sia,at Tl,T2,T3 and T4,the mean arterial pressure,heart rate and oxygen saturation of the observation group and the control group,the differences between the groups were significant(P＜0.05).Ramsay sedation score and visual analogue scale(VAS)score in the observation group were lower than those in the control group,and the difference between groups was significant(P＜0.05).After anesthesia,sedation-agitation scale(SAS)scores of both groups were decreased(P＜0.05),but compared with those of the control group,SAS scores of the observation group were decreased more significantly(P＜0.05).The incidence of complications in the observa-tion group was 6.0％(3/50),lower than that in the control group(24.0％,12/50),and the difference between groups was signif-icant(P＜0.05).The satisfaction rate of the observation group was 96.0％(48/50),higher than that of the control group(78.0％,39/50),and the difference between groups was significant(P＜0.05).Conclusion Acupuncture combined with promecaine hydrochloride surface anesthesia for senile cataract surgery has clear effects.It can keep patients awake and have good sedative and analgesic effects,and is conducive to hemodynamic stability.It can keep patients breathing circulation stable and ensure the smooth operation.At the same time it also can reduce the pain and relieve the anxiety of the patients,in line with the concept of rapid recovery.
acupuncturepromecaine hydrochloridetopical anesthesiasenile cataract surgerysedative and analgesic effect
万方数据
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