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目的:探讨减轻新生血管性青光眼术后疼痛的方法。方法:选取本院2008年1~12月32例糖尿病视网膜中央静脉阻塞造成的新生血管性青光眼患者随机分为观察组和对照组,观察组实施沿角膜缘切开结膜,3:00和9:00放射状切开暴露巩膜冷冻手术,对照组患者结膜不切开直接进行睫状体冷冻。观察两组术后6、12、24、72h,7d患者疼痛情况,比较两组患者的治疗效果。结果:观察组术后6、12、24h患者疼痛减轻明显,球结膜水肿减轻明显,两组比较P<0.05,差异有统计学意义。结论:睫状体冷冻手术是新生血管性青光眼手术的有效方法,能有效减轻患者术后疼痛,值得临床推广。
Objective: To explore ways to reduce postoperative pain in neovascular glaucoma. Methods: A total of 32 patients with neovascular glaucoma caused by retinal central retinal vein occlusion in our hospital from January to December in 2008 were randomly divided into observation group and control group. The observation group was performed conjunctival incision along the limbus, 3: 00 and 9: 00 radial incision exposed scleral surgery, the control group patients without conjunctiva direct ciliary body freezing. The pain of 6,12,24,72h and 7d postoperative patients was observed, and the therapeutic effect of the two groups was compared. Results: The pain relief in the observation group was obvious at 6, 12, and 24 hours after operation, and the conjunctival edema was relieved significantly. The difference between the two groups was statistically significant (P <0.05). Conclusion: Ciliary body cryosurgery is an effective method of neovascular glaucoma surgery, which can effectively relieve postoperative pain in patients and is worthy of clinical promotion.