CAJ | 학술논문

目的：探讨脱水联合持续术中缩瞳在全麻使用阿托品后急性闭角型青光眼的价值。方法66例闭角型青光眼患者，及时处理者（观察组）35例，未及时处理者（对照组）31例，比较两组麻醉苏醒后24 h眼压、视力、眼部症状和发生不良反应。结果观察组麻醉苏醒后眼部疼痛、头痛及视物模糊比例低于对照组（P＜0．05），术中高血压、心律失常及苏醒期躁动比例低于对照组（P＜0．05），麻醉苏醒后24 h，眼压低于对照组，视力高于对照组（P＜0．05）。结论脱水联合持续术中缩瞳治疗全麻使用阿托品导致急性闭角型青光眼，能维持术中生命体征，减少术后并发症，保证术后视力。
목적：탐토탈수연합지속술중축동재전마사용아탁품후급성폐각형청광안적개치。방법66례폐각형청광안환자，급시처리자（관찰조）35례，미급시처리자（대조조）31례，비교량조마취소성후24 h안압、시력、안부증상화발생불량반응。결과관찰조마취소성후안부동통、두통급시물모호비례저우대조조（P＜0．05），술중고혈압、심률실상급소성기조동비례저우대조조（P＜0．05），마취소성후24 h，안압저우대조조，시력고우대조조（P＜0．05）。결론탈수연합지속술중축동치료전마사용아탁품도치급성폐각형청광안，능유지술중생명체정，감소술후병발증，보증술후시력。
Objective To investigate the dehydration combined with continuous intraoperative pupil dilation for acute angle-closure glaucoma caused by misusing of atropine in anesthesia.Methods Sixty-six cases were selected,among whom 35 cases were timely diagnosed and treated and 31 cases failed to be timely diagnosed and treated,then the intraocular pressure of 24 hours after anesthesia and visual chan-ges,as well as the ocular symptoms and adverse reactions after anesthesia were compared between the two groups.Results The rate of severe eye pain,headaches and blurred vision of the observation group after anesthesia was higher than that of the control group(P<0.05);the rate of intraoperative hypertension,arrhythmia and awake agitation of the observation group was significantly lower than that of the control group (P<0.05);IOP 24 hours after anesthesia was significantly lower than that of the control group and the sight was better than that of the con-trol group(P<0.05).Conclusion The early discovery and usage of dehydration combined with continuous intraoperative pupil dilation for acute angle-closure glaucoma caused by misusing of atropine in anesthesia can better maintain intraoperative vital signs,reduce postoperative complications,and ensure especially postoperative visual acuity.