在俯卧姿势下增加手术内眼内压力
Tamie Takenami1, Kazutaka Tanaka2, Tomoko Suzuki3
1Department of Anesthesiology, Kitasato Medical Center, Kitamoto, Japan.
Spine surgery and related research
|August 12, 2024
概括
在倾斜脊柱手术期间,眼内压 (IOP) 显著增加,在整个手术过程中保持升高. 然而,这项研究发现,在接受脊椎手术的患者中,没有发现高内压的确诊危险因素,也没有发现视觉并发症.
科学领域:
- 眼科医生 眼科 眼科
- 麻醉学 麻醉学
- 神经外科 神经外科
背景情况:
- 手术期间眼内压力 (IOP) 的变化会影响视力健康.
- 卧卧的脊柱外科手术可能会因为生理变化而影响IOP.
研究的目的:
- 为了测量患者的眼内压力 (IOP) 在卧卧与倾斜手术期间.
- 为了识别卧卧位置内皮压升高的危险因素.
- 评估与容易脊柱手术相关的视觉并发症.
主要方法:
- 一项前性队列研究比较了卧卧 (对照) 和卧卧 (脊柱) 手术组中的IOP.
- IOP,前腔角 (ACA) 和 fundus 发现被监测在多个时间点.
- 分析了倾斜位置内皮压增加的风险因素.
主要成果:
- 脊柱组在假设倾斜的位置后1小时内显著增加了超过20mmHg的内压.
- 倾斜组的内压继续上升,直到线关闭,并在返回卧卧姿势时下降.
- 在ACA,BMI,血液损失,手术时间或躺卧时间和增加的内血压之间没有发现相关性.
结论:
- 经过倾向性脊柱手术的患者经历了持续时间的高内压.
- 对于这种IOP增加,没有特定的风险因素被确定.
- 在任何一组手术中都没有报告视力障碍.
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