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食道胃管透镜对眼内压力的影响
Maddalena De Bernardo1, Antonella Santonicola2, Marco Gioia1
1Eye Unit, Department of Medicine, Surgery and Dentistry "Scuola Medica Salernitana", University of Salerno, Baronissi, 84081 Salerno, Italy.
Journal of clinical medicine
|April 9, 2024
概括
消化管-胃管-十二肠镜 (EGD) 会导致眼内压力 (IOP) 显著增加,特别是当胃镜到达十二肠时. 在手术后,内血压恢复到基线水平,但这些波动需要考虑青光眼患者.
科学领域:
- 眼科医生 眼科 眼科
- 胃肠病学 胃肠病学
- 临界护理医学 临界护理医学
背景情况:
- 消化管胃管腺镜术 (EGD) 涉及气体吸入,可能导致腹内高血压 (IAH).
- IAH与内压力 (ICP) 和可能的眼内压力 (IOP) 的增加有关.
研究的目的:
- 调查常规查EGD对IOP的影响.
主要方法:
- 一项观察性研究涉及25名患者 (15名男性,10名女性).
- 使用Tonopen Avia在EGD之前,期间 (十二指肠D2) 和之后,在坐着和左侧部位置进行IOP测量.
- 在21名参与者中,EGD在镇静下进行.
主要成果:
- 当胃镜到达十二指肠时,观察到具有统计意义的IOP增加 (p < 0.01).
- 在手术后,与十二指肠阶段相比,IOP显著下降 (p < 0.001).
- 最终的IOP测量与EGD前的基线水平相似.
结论:
- EGD导致显著的IOP波动,在十二指管内输管过程中显著增加.
- 这些IOP变化应在经历重复EGD或患有青光眼的患者中考虑.
- 需要进一步的研究,以了解在EGD期间IOP增加的短期和长期影响.
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