CAJ | 학술논문

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 kPa），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。
목적：관찰유양운동혹온열요법대개각형청광안안압적영향。방법이림상명학진단적개각형청광안（지국부사용전렬소류약물치료）환자176례위연구대상。간예방법：유양운동혹온열요법（열수욕）。주요료효지표：우안안압치。결과저강도（20%최대공솔운동10 min）급고강도（60%최대공솔운동5 min）운동후안압교운동전명현강저，강폭최대9.06 mm Hg（56%）（1 mm Hg=0.133 kPa），평균5.72 mm Hg。운동후안압수시간적변화규률위：운동후즉각즉15 min시안압강도최저，지후제1소시안압회복최쾌，2 h후안압회복체도은정상태，지후경도하강。안압회복과정중，1 h내회복도운동전수평적안수최다，약점52%，평균1.5 h。열수욕후안압축점강저，세조후2 h교세조전명현강저，변화치위-1.20（-2.90,1.60） mm Hg，전후차이유통계학의의（Z=-365.5，P=0.04）。결론유양운동혹세열수조시일충안전유효、간편역행적강안압방법，치득진일보연구。
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.