在宫内切除术后的患者中,乘坐电梯时眼内压升高
Posey P Y Wong1, Nicole C Tsim1, Karen K W Chan1
1Department of Ophthalmology and Visual Sciences, Prince of Wales Hospital, 30-32 Ngan Shing Street, Shatin, Hong Kong.
Scientific reports
|August 28, 2023
概括
电梯旅行显著增加了在玻璃直肠外科手术后气体坦波纳的患者的眼内压力. 没有气体吸管的患者没有明显的眼内压力变化.
科学领域:
- 眼科医生 眼科 眼科
- 手术创新 在外科创新.
- 患者安全 患者安全
背景情况:
- 视网膜外科手术通常涉及气体吸管以保持视网膜位置.
- 手术后监测至关重要,尤其是眼内压力 (IOP).
- 快速大气压变化的影响,比如电梯旅行,在手术后对IOP的影响还不太清楚.
研究的目的:
- 为了评估电梯旅行对视内压力 (IOP) 的影响,在术后的患者.
- 为了比较眼内气泡的患者和没有眼内气泡的患者的IOP变化.
- 为了确定在手术后的立即期内快速变化的高度对安全的影响.
主要方法:
- 这是一项前性研究,涉及54名接受Pars Plan Vitreoretinal手术的患者.
- 患者被分为两组:有27组输入气体,有27组没有 (对照组).
- 在乘坐电梯之前和之后 (4至12楼) 使用Tono-Pen AVIA测量眼内压力.
主要成果:
- 气体吸管患者在乘坐电梯后显示出统计学上显著的平均内血压增加,即+1.39 mmHg.
- 没有气体吸管的患者平均内血压变化为-0.43 mmHg,这在统计学上并不显著.
- 两组IOP变化的差异在统计学上是显著的 (P < 0.0001).
结论:
- 电梯旅行会导致眼内压力显著上升,在眼内气体坦波纳的患者中,在玻璃视网膜外科手术后立即发生.
- 没有气体吸管的患者在类似的电梯旅行中不会经历显著的IOP变化.
- 建议进行进一步的研究,以探索更广泛的海拔范围和不同气体的影响.
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