摘要
目的观察有氧运动或温热疗法对开角型青光眼眼压的影响。方法以临床明确诊断的开角型青光眼(只局部使用前列素类药物治疗)患者176例为研究对象。干预方法:有氧运动或温热疗法(热水浴)。主要疗效指标:右眼眼压值。结果低强度(20%最大功率运动10 min)及高强度(60%最大功率运动5 min)运动后眼压较运动前明显降低,降幅最大9.06 mm Hg(56%)(1 mm Hg=0.133 k Pa),平均5.72 mm Hg。运动后眼压随时间的变化规律为:运动后即刻即15 min时眼压降到最低,之后第1小时眼压恢复最快,2 h后眼压恢复达到稳定状态,之后轻度下降。眼压恢复过程中,1 h内恢复到运动前水平的眼数最多,约占52%,平均1.5 h。热水浴后眼压逐渐降低,洗澡后2 h较洗澡前明显降低,变化值为-1.20(-2.90,1.60)mm Hg,前后差异有统计学意义(Z=-365.5,P=0.04)。结论有氧运动或洗热水澡是一种安全有效、简便易行的降眼压方法,值得进一步研究。
OBJECTIVE To investigate aerobic exercise or thermotherapy in primary open-angle glaucoma （POAG） therapy. METHODS All eligible patients （n=176） included in the study were definitely diagnosed with POAG and locally used prostaglandin analogue alone. Natural therapies including dynamic exercise and hot water bath were given. Intraocular pressure （IOP） was measured. RESULTS 1.The IOP was significantly lower in POAG patients after 10 minutes exercise at 20%maximum watt （Wmax） and 5 minutes exercise at 60%Wmax （P〈0.05）. 2. POAG patients had significant IOP decrease-1.20（-2.90, 1.60）mm Hg after 2 hours of hot water bath （40℃for 10 minutes）, Z=-365.5, P=0.04. CONCLUSIONS Natural therapeutic approaches, including dynamic exercise or hot water bath, was effective and secure to reduce IOP.
出处
《中国中医眼科杂志》
2015年第4期246-249,共4页
China Journal of Chinese Ophthalmology
基金
北京市科学技术委员会首都特色临床医学技术发展研究和北京市自然基金(No.7152071)
首都医科大学首都中医药研究专项(No.15ZY09)
关键词
青光眼
眼压
有氧运动
温热疗法
热水浴
glaucoma
intraocular pressure
dynamic exercise
thermotherapy
hot water bath
