在剖腹产和正常的阴道分娩中,后眼段是如何受到影响的?
Mehmet Icoz1, Ali Osman Gündogan1, Kubra Memnune Gundogan2
1Department of Ophthalmology, Yozgat City Hospital, Yozgat, Turkey.
Indian journal of ophthalmology
|October 25, 2024
概括
正常的阴道分娩 (NVD) 可以导致光盘和胸膜在分娩后的变化,而不是剖腹产 (CS). 在健康女性中,这些与分娩相关的眼部变化与荷尔蒙影响有关.
科学领域:
- 眼科医生 眼科 眼科
- 生殖医学 生殖医学
- 医疗成像医学成像
背景情况:
- 出生涉及显著的生理变化.
- 输送方法对眼睛结构的影响尚不清楚.
- 光学连贯断层扫描 (OCT) 允许详细检查视网膜,光学盘和胸膜.
研究的目的:
- 为了比较正常阴道分娩 (NVD) 与剖腹产 (CS) 对眼组织的影响.
- 通过使用OCT来研究视网膜,视力盘和胸膜的变化.
- 为了评估这些变化健康的孕妇在怀孕后期和产后早期.
主要方法:
- 对60名健康孕妇 (30名NVD,30名CS) 的前性研究.
- 眼科检查和OCT扫描在妊娠的第三季度和产后第一周.
- 测量包括视网膜厚度,质细胞层 (GCL + IPL),视网膜神经纤维层 (RNFL),光盘形态,胸膜厚度和胸膜血管指数 (CVI).
主要成果:
- NVD组表现出周周毛囊RNFL显著稀释和光盘形态的变化 (边缘面积,杯/盘比,杯体积).
- 产后NVD组表现出冠状血管指数 (CVI) 的显著下降.
- CS组显示的变化很小,主要是GCL + IPL厚度的增加,其他测量参数没有显著变化.
结论:
- 这项研究是首次检查传递方法对视网膜,胸膜和视觉盘的影响.
- 正常的阴道分娩与胸腔血管和视觉盘形态的早期产后变化有关.
- 在NVD后的荷尔蒙变化可能是观察到的眼部变化的贡献者.
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