Feasibility and safety of open ventilation masks in vitrectomy for patients with PDR
10.3760/cma.j.cn115989-20250224-00052
- VernacularTitle:开放式通气面罩在PDR患者玻璃体切割术中应用的可行性和安全性
- Author:
Rui DAI
1
;
Yuhao ZHU
1
;
Suchang WANG
1
;
Haiyang LIU
1
;
Wei FAN
1
;
Zhengpei ZHANG
1
;
Sujuan JI
1
;
Jie LI
1
;
Aiqin SHENG
1
;
Suyan LI
1
Author Information
1. 徐州医科大学附属徐州市立医院眼科，徐州 221116
- Publication Type:Journal Article
- Keywords:
Vitrectomy;
Proliferative diabetic retinopathy;
Open ventilation mask;
Feasibility;
Safety
- From:
Chinese Journal of Experimental Ophthalmology
2025;43(11):1041-1045
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the feasibility and safety of open ventilation masks in patients with proliferative diabetic retinopathy (PDR) undergoing vitrectomy under local anesthesia.Methods:A randomized clinical trial was conducted.Eighty PDR patients (80 eyes) undergoing vitrectomy with local anesthesia were enrolled at Xuzhou Municipal Hospital from May to July 2024.Patients were randomly divided into an experimental group and a control group using a random number table method, with 40 cases (40 eyes) in each group.The experimental group received oxygen through an ophthalmic surgical open ventilation mask during the operation, while the control group used a traditional nasal cannula.The respiratory rate, heart rate, systolic blood pressure, diastolic blood pressure, and oxygen saturation before and after oxygen inhalation during the operation were compared between the two groups.Patient comfort level, airway patency, anxiety status, satisfaction level, operation time, surgical success rate, and incidence of intraoperative complications were also compared.This study adhered to the Declaration of Helsinki and the study protocol was appreed by the Ethics Committee of Xuzhou Municipal Hospital (No.2024-KY-065).Results:After oxygen inhalation during the operation, improvements in respiratory rate, heart rate, and oxygen saturation were greater in the experimental group than in the control group, with statistically significant differences ( t=4.671, 7.894, 1.588; all P<0.05).The Borg, and Hamilton Anxiety Scale scores were lower in the experimental group than in the control group, with statistically significant differences ( t=2.828, 4.880; both P<0.05), while the Bruggrmann Comfort Scale score was higher than that in the control group ( t=2.774, P<0.05).There were no statistically significant differences in operation time, surgical success rate or incidence of complications between the two groups ( t=0.595, P=0.554; χ2=0.346, 0.263; both P>0.05).Satisfaction rate of patients in the experimental group was 97.5%(39/40), which was higher than 85.0%(34/40) in the control group, with a statistically significant difference ( χ2=3.914, P=0.048). Conclusions:For PDR patients undergoing vitreous surgery under local anesthesia, using an ophthalmic surgical open ventilation mask for oxygen inhalation can effectively enhance respiratory comfort level, alleviate anxiety, maintain stable vital signs, improve overall comfort level, and ensure smooth surgery, without observed adverse reactions related to mask use, which makes it worthy of clinical promotion and application.
