CAJ | 학술논문

背景围术期眼内压(intraoeular pressure,IOP)剧烈波动可以引起严重的眼部并发症,导致视野缺损甚至失明.有研究表明,围术期麻醉、手术操作及药物的使用均可导致IOP发生改变,影响眼内血供. 目的系统地阐述围术期生理及麻醉常用药物对IOP影响的研究现状以及进展,为临床工作提供参考,并启发新的研究思路. 内容对麻醉期间影响IOP的生理和药物因素进行综述. 趋向从近期的研究可见,研究者对围术期生理及药物对IOP的影响机制进行了更为深入的探讨.
배경 위술기안내압(intraoeular pressure,IOP)극렬파동가이인기엄중적안부병발증,도치시야결손심지실명.유연구표명,위술기마취、수술조작급약물적사용균가도치IOP발생개변,영향안내혈공. 목적 계통지천술위술기생리급마취상용약물대IOP영향적연구현상이급진전,위림상공작제공삼고,병계발신적연구사로. 내용 대마취기간영향IOP적생리화약물인소진행종술. 추향 종근기적연구가견,연구자대위술기생리급약물대IOP적영향궤제진행료경위심입적탐토.
Background Perioperative fluctuation of intraocular pressure (IOP) can cause serious ocular complications,resulting in visual field defects or even blindness.Studies have shown that,the perioperative procedures and anesthetic can lead to IOP changes,which affects the blood supply of the eyes.Objective This review systematically elaborates the research status and progress on the effects of perioperative physiological function and common anesthetics on IOP and will provide a reference for clinical work,and inspire new research ideas.Content To review the physiological and drug factors during anesthesia which affect the IOP.Trend It can be seen form the recent studies,that the researchers have conducted more indepth discussions about the mechanisms of perioperative physiology and drugs on IOP.