摘要
目的探讨老年心血管病患者白内障超声乳化手术中收缩压、舒张压、眼心反射及术后视力改善情况,为该类患者的治疗提供基础数据。方法选择2003年11月至2005年1月间资料完整的白内障超声乳化手术病例168例(182只眼),其中心血管病组97例(106只眼),对照组71例(76只眼)。观察2组患者手术过程中的血压、眼心反射、心电图指标变化情况。结果2组术中各阶段平均收缩压较术前均有不同程度升高,但舒张压、眼心反射发生率、心电图变化情况、术后视力恢复情况组间差异不显著。结论术前合理用药、术中减少眼球刺激、加强监护可以确保老年心血管病患者白内障超声乳化手术的成功实施。
Objective To investigate the changes of systolic pressure, diastolic pressure, oculocardiac reflex （OCR） and vision of patients suffering from cardiovascular disease when they applied phacoemulsification. Methods Totally 168 cases （182 eyes） who had underwent phacoemulsification were analyzed in random selection. Of all the cases, 97 （ 106 eyes） were combined with cardiovascular disease, the others were without any general disease. The changes of blood pressure, OCR, ECG and vision were observed in two groups. Resuits Compared with preoperative period, the mean systolic blood pressure increased significantly during operation, but the differences of diastolic pressure, OCR, ECG and vision were not significant between the two groups. Conclusion The safety and reliability of the surgery depend on reasonable medication, careful surgical procedure and monitoring for the patients with cardiovascular disease in the peri-operation period.
出处
《第三军医大学学报》
CAS
CSCD
北大核心
2007年第1期87-89,共3页
Journal of Third Military Medical University
关键词
心血管疾病
白内障超声乳化术
眼心反射
cardiovascular disease
phacoemulsification
oculocardiac reflex
