部延伸对儿科患者的眼内压力的影响 接受宫腔整形术的儿科患者
Jihion Yu1, Jun-Young Park1, Woo Shik Jeong2
1Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
概括
在palatoplasty期间部延伸显著增加儿童的眼内压力 (IOP). 这种手术位置可能会带来眼部并发症的风险,需要仔细考虑.
科学领域:
- 眼科医生 眼科 眼科
- 麻醉学 麻醉学
- 儿科手术 儿科手术
背景情况:
- 眼内压力 (IOP) 可能会受到患者的位置的影响.
- 部延伸是宫腔整形术中常见的一种手术操作,以优化手术的准入.
- 在palatoplasty期间部延伸对IOP的影响尚未得到充分证实.
研究的目的:
- 为了评估手术内部延伸对眼内压力 (IOP) 的影响,在接受palatoplasty的儿科患者.
- 为了确定部延伸后的仰卧姿势是否也会影响IOP.
- 在这些位置变化期间评估血液动力学和呼吸变量的变化.
主要方法:
- 对37名儿科患者进行了前性观察性研究.
- 眼内压力 (IOP) 用反弹计在四个时间点测量:延伸前,延伸后,宫腔整形完成后和回到卧位后.
- 在整个过程中,血液动力学和呼吸系统的参数都得到了监测.
主要成果:
- 在部伸展后,眼内压 (IOP) 显著增加 (15.8 ± 3.4 mmHg) 与卧卧姿势 (10.5 ± 2.8 mmHg) 相比.
- 在手术结束时 (18.9 ± 3.6 mmHg) 和返回卧姿势 (13.3 ± 3.7 mmHg) 后,内压仍然显著升高.
- 血液动力学或呼吸系统变量没有显著变化.
结论:
- 在palatoplasty期间进行手术内部延伸导致儿科患者的眼内压力 (IOP) 显著增加.
- 升高的内压持续,即使在返回卧姿势后.
- 这些发现突出了这一患者群体眼部并发症的潜在风险因素.
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