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目的探讨在爱尔凯因表麻下行小切口不碎核非超声乳化白内障摘除及人工晶体植入术的麻醉及临床效果。方法在爱尔凯因表麻下对68例(82眼)白内障患者实施小切口不碎核非超声乳化白内障摘除及人工晶体植入术,观察其临床效果。结果在爱尔凯因表麻下全部患者均可很好地配合手术完成,无一例更换麻醉方式,手术时间12.30m in,术后第1天视力≥0.5者65眼,占79%;1周≥0.5者74眼,占90%,角膜散光(0.75±0.5)D。术后1月≥0.5者76眼,占93%,散光(0.50±0.5)D。结论在爱尔凯因表麻下行小切口不碎核非超声乳化白内障摘除及人工晶体植入术是安全可靠及临床效果显著的方法之一,值得推广应用(尤其基层医院的推广应用)。
Objective To investigate the anesthesia and clinical effects of small incision non-fragmented nucleus phacoemulsification cataract extraction and intraocular lens implantation under Alkaline anesthesia. Methods A total of 68 patients (82 eyes) with cataract were treated with small incision non-broken nucleus phacoemulsification cataract extraction and intraocular lens implantation. The clinical effect was observed. Results All patients under Alkaline anesthesia were able to complete the operation well, without any change of anesthesia, the operation time was 12.30m in, the visual acuity ≥ 0.5 was 65 on the first day after operation, accounting for 79%; one week ≥ 0.5, 74 eyes, accounting for 90%, corneal astigmatism (0.75 ± 0.5) D. 76 cases (≥0.5) accounted for 93% and astigmatism (0.50 ± 0.5) D after operation. Conclusion Small incision non-fragmented nucleus phacoemulsification cataract extraction and intraocular lens implantation is a safe and reliable method and one of the clinically effective methods. It is worth to promote the application (especially the promotion and application of primary hospitals).