Abstract：
OBJECTIVE: To explore the application effect of cervical pillow in phacoemulsification surgery for age-related cataract patients.
METHODS: 104 cases of age-related cataract patients admitted to our hospital in June 2023 were enrolled and divided into the control group (traditional supine position) and the experimental group (the cervical pillow supine position) by the digital parity method (52 cases per group). The two groups were evaluated for the discomfort score, the satisfaction of patients and doctors, the head displacement rate, the number of displacement, the operation time and the time of body position during the operation and after the operation.
RESULTS: There was no significant difference in the gender (P = 0.84), age (P = 0.86), course of disease (P = 0.82) and the time spent on position placement (P = 0.15) of the two groups. The patient in the experimental group had lower discomfort score (P = 0.0001), higher patients satisfaction (P = 0.0001) and higher doctors satisfaction (P = 0.0001) than patients in the control group. There was no significant difference between the experimental group and the control group in the proportion of intraoperative (P = 0.36) and postoperative pain (P = 0.65). Besides, the number of head transfers (P = 0.001), number of head shifts (P = 0.0001), the surgical time (P = 0.0001) and laparoscopic time (P = 0.0001) in the experimental group were significantly lower than those in the control group.
CONCLUSIONS: The additional cervical pillow for age-related cataract patients in the traditional supine position during the operation will not increase the preparation time before the operation, but will help improve the patient satisfaction, improve the comfort and maintain a good position of the operative eye field, bringing obvious comfort and smooth operation for the surgeon in the operation, thus reducing the risk of the operation, shortening the operation time.
METHODS: 104 cases of age-related cataract patients admitted to our hospital in June 2023 were enrolled and divided into the control group (traditional supine position) and the experimental group (the cervical pillow supine position) by the digital parity method (52 cases per group). The two groups were evaluated for the discomfort score, the satisfaction of patients and doctors, the head displacement rate, the number of displacement, the operation time and the time of body position during the operation and after the operation.
RESULTS: There was no significant difference in the gender (P = 0.84), age (P = 0.86), course of disease (P = 0.82) and the time spent on position placement (P = 0.15) of the two groups. The patient in the experimental group had lower discomfort score (P = 0.0001), higher patients satisfaction (P = 0.0001) and higher doctors satisfaction (P = 0.0001) than patients in the control group. There was no significant difference between the experimental group and the control group in the proportion of intraoperative (P = 0.36) and postoperative pain (P = 0.65). Besides, the number of head transfers (P = 0.001), number of head shifts (P = 0.0001), the surgical time (P = 0.0001) and laparoscopic time (P = 0.0001) in the experimental group were significantly lower than those in the control group.
CONCLUSIONS: The additional cervical pillow for age-related cataract patients in the traditional supine position during the operation will not increase the preparation time before the operation, but will help improve the patient satisfaction, improve the comfort and maintain a good position of the operative eye field, bringing obvious comfort and smooth operation for the surgeon in the operation, thus reducing the risk of the operation, shortening the operation time.
摘要：
目的：探讨颈枕在年龄相关性白内障超声乳化手术中的应用效果。
方法：选择2023年6月我院收治的104例年龄相关性白内障患者，采用数字平价法分为对照组（传统仰卧位）和实验组（颈枕仰卧位），每组52例。对两组患者进行不适评分,患者和医生的满意度，头部位移率，流离失所的数量，手术时间和手术期间和手术后身体位置的时间。
结果：性别差异无统计学意义（P=0.84）。年龄（P=0.86），两组的病程（P=0.82）和体位放置时间（P=0.15）。实验组患者的不适评分较低(P=0.0001),患者满意度(P=0.0001)和医生满意度(P=0.0001)高于对照组。实验组与对照组在术中(P=0.36)和术后疼痛(P=0.65)所占比例差异无统计学意义。此外,头部转移次数(P=0.001)，头移数（P=0.0001），实验组手术时间(P=0.0001)和腹腔镜手术时间(P=0.0001)明显低于对照组。
结论：年龄相关性白内障患者术中增加传统仰卧位的颈枕不会增加术前准备时间，但有助于提高患者满意度，改善手术眼场的舒适度并保持良好位置，在手术中为外科医生带来明显的舒适和平稳的操作，从而降低了手术的风险，缩短手术时间。
方法：选择2023年6月我院收治的104例年龄相关性白内障患者，采用数字平价法分为对照组（传统仰卧位）和实验组（颈枕仰卧位），每组52例。对两组患者进行不适评分,患者和医生的满意度，头部位移率，流离失所的数量，手术时间和手术期间和手术后身体位置的时间。
结果：性别差异无统计学意义（P=0.84）。年龄（P=0.86），两组的病程（P=0.82）和体位放置时间（P=0.15）。实验组患者的不适评分较低(P=0.0001),患者满意度(P=0.0001)和医生满意度(P=0.0001)高于对照组。实验组与对照组在术中(P=0.36)和术后疼痛(P=0.65)所占比例差异无统计学意义。此外,头部转移次数(P=0.001)，头移数（P=0.0001），实验组手术时间(P=0.0001)和腹腔镜手术时间(P=0.0001)明显低于对照组。
结论：年龄相关性白内障患者术中增加传统仰卧位的颈枕不会增加术前准备时间，但有助于提高患者满意度，改善手术眼场的舒适度并保持良好位置，在手术中为外科医生带来明显的舒适和平稳的操作，从而降低了手术的风险，缩短手术时间。
