Antiinflammatory effect of pterygopalatine blockade for anesthetization in ophthalmic surgery
| Autor: | M.A. Shanturova, N.Ya. Senchenko, Tatyana Yureva, I.G. Oleshchenko, D.V. Zabolotsky |
|---|---|
| Jazyk: | ruština |
| Rok vydání: | 2018 |
| Předmět: |
Pain syndrome
Rehabilitation General Immunology and Microbiology business.industry medicine.medical_treatment Science Analgesic pterygopalatine blockade medicine.disease General Biochemistry Genetics and Molecular Biology Blockade Antioxidant capacity Plasma cortisol Cataracts congenital cataract Anesthesia Medicine business Surgical treatment oxidation-reduction potential |
| Zdroj: | Acta Biomedica Scientifica, Vol 3, Iss 1, Pp 82-88 (2018) |
| ISSN: | 2587-9596 2541-9420 |
| Popis: | Purpose: to evaluate the effectiveness of analgesic and anti-inflammatory effects of pterygopalatine blockade in the surgical treatment of cataract in children. Materials and methods. A comparative analysis of the efficacy of intraoperative anesthesia and the course of the postoperative period was carried out in 52 patients of two clinical groups that were formed depending on the method of anesthesia. The first clinical group included 26 patients who underwent a pterygopalatine blockade as a regional component of general anesthesia, the second comparison group was formed of 28 patients undergoing retrobulbar blockade. To assess the adequacy of anesthesia, the concentration of plasma cortisol and oxidation-reduction profile was determined before and after the operation, the intensity of the pain syndrome, the extent of the inflammatory reaction of the eye after surgery were assessed. The results showed a decrease in the concentration of cortisol and increased antioxidant capacity of the organism after surgery in patients of the first group. In patients of the 1 st clinical group, the Tyndal phenomenon of the 1 st degree was revealed in 15.3 % of cases, the remaining patients had no signs of inflammation. Each second patient of 2 nd group had a moderate degree of inflammatory reaction, and in 7 % of cases significant exudative phenomena were noted in the form of the Tyndall II degree phenomenon. Conclusion. The use of vesicle blockade in the surgical treatment of cataracts allowed improving the quality of rehabilitation of a patient with congenital cataract, both in the early and late postoperative period. |
| Databáze: | OpenAIRE |
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