【摘要】：目的探討機(jī)器人輔助根治性全膀胱切除術(shù)中患者頭低足高位對(duì)眼壓的影響并分析其影響因素。方法對(duì)41例機(jī)器人輔助根治性全膀胱切除術(shù)患者,測(cè)量平臥位麻醉誘導(dǎo)后10 min內(nèi)(T1),頭低足高位后10 min內(nèi)(T2)、1 h(T3)、2 h(T4)、3 h(T5),體位恢復(fù)水平位后10 min內(nèi)(T6)和2 h(T7)的眼壓。記錄患者的一般資料、頭低足高位持續(xù)時(shí)間和角度等。結(jié)果頭低足高位期間眼壓為(24.88±2.61)mm Hg,高于正常眼壓值。頭低足高位期間眼壓值均高于水平位,且隨著時(shí)間延長,眼壓明顯升高。多元線性回歸分析結(jié)果顯示,頭低足高位持續(xù)時(shí)間、角度和術(shù)中失血量為眼壓變化的影響因素,可共同解釋眼壓61.2%的變異。結(jié)論機(jī)器人輔助根治性全膀胱切除術(shù)中頭低足高位使患者術(shù)中眼壓升高。
[Abstract]:Objective to investigate the effect of high head and foot on intraocular pressure (IOP) in robotic assisted radical cystectomy and analyze its influencing factors. Methods Forty one patients with robot-assisted radical cystectomy were measured within 10 min after anesthesia induction in supine position (T1), within 10 min (T2), 1 h (T3), 2 h (T4), 3 h (T5) after high position of head and foot. Intraocular pressure (IOP) within 10 min (T 6) and 2 h (T 7) after postural restoration. Record the general data of patients, head low foot high duration and angle, etc. Results IOP (24.88 鹵2.61) mm Hg,) was higher than that of normal IOP. IOP was higher than that in horizontal position during the period of high head and foot, and the IOP increased with time. Multiple linear regression analysis showed that the duration of high head and foot, angle and intraoperative blood loss were the influencing factors of IOP, which could explain 61.2% variation of IOP. Conclusion Robotic assisted radical cystectomy leads to intraoperative intraocular pressure (IOP) elevation in patients with lower head and lower foot.
【作者單位】： 上海市上海交通大學(xué)醫(yī)學(xué)院附屬仁濟(jì)醫(yī)院手術(shù)室;
【分類號(hào)】：R472.3

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