注意力分散对白内障手术操作的影响
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Impact of distraction on the operation of cataract surgery
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    摘要:

    目的:就注意力分散对白内障手术操作的影响展开临床研究分析。

    方法:随机选取我院20名医师,分为经验欠缺组(由10名住院医师组成)和经验丰富组(由10名高年主治医师及以上医师组成),两组医师分别于注意力集中和注意力分散情况下练习开展15次环形撕囊模拟手术操作,对两组手术操作时间、手术效果进行观察对比。

    结果:经验丰富组注意力集中情况手术操作时间显著低于注意力分散情况,数据差异具有统计学意义(P<0.05); 手术完成情况得分及手术成功率两种情况对比,数据无显著差异(P>0.05); 经验欠缺组注意力集中情况手术操作时间显著低于注意力分散情况,手术完成情况得分及手术成功率显著高于注意力分散情况,数据对比差异具有统计学意义(P均<0.05)。

    结论:白内障手术操作过程中,经验丰富与经验欠缺的术者均会受到注意力分散影响,前者在注意力分散影响下手术时间会延长但手术效果不受影响,后者操作时间及手术效果均会受到不良影响。

    Abstract:

    AIM: To research and analyze the impact of distraction on cataract surgery operations.

    METHODS: Twenty randomly selected hospital physicians were divided into lack of experience group(composed of 10 residents)and experienced group(of 10 go further than attending physician and composition). Two physicians were distracted attention and lower case exercises carried 10 times circular capsulorhexis simulated operation, operation time for the two groups, the effect of surgery were observed and compared.

    RESULTS: The focus group situation experienced operative time was significantly lower than the distraction group,with statistically significant difference(P<0.05); Comparison result of surgery score and completion success rate of the two cases had no significant difference(P>0.05); Operative time of lack of experience focus group was significantly lower than the distraction group, the completion of surgery and surgical score was significantly higher than the success rate of distraction group, difference was statistically significant(P<0.05).

    CONCLUSION: Cataract surgery operation process, experienced and less experienced intraoperative caught will be distracted affected, the former under the influence of distracted surgical operation time will be extended, but the effect is not affected, the latter operating time and results of operations will be subject to adverse effects.

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陈建志,符春艳,唐琼燕.注意力分散对白内障手术操作的影响.国际眼科杂志, 2014,14(11):2071-2073.

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  • 收稿日期:2014-06-09
  • 最后修改日期:2014-10-23
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  • 在线发布日期: 2014-10-31
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