毫针前房穿刺处理急性闭角型青光眼急性发作  

Treatment for sudden attack of angle closure glaucoma by anterior chamber penetration using acupuncture needle

作　　者：郑晓丽[1] 郑秀丽[1] 

机构地区：[1]山东省聊城市人民医院眼科,252000

出　　处：《眼科新进展》2007年第1期60-61,共2页Recent Advances in Ophthalmology

摘　　要：目的探讨毫针前房穿刺放液处理急性闭角型青光眼急性发作的疗效。方法对27例27眼急性闭角型青光眼急性发作患者（术前眼压均在60mmHg以上．1kPa=7．5mmHg）在应用常规降眼压药物治疗未能有效降低眼压后，采用毫针进行前房穿刺，放出房水。结果所有患者经毫针放液后高眼压及眼痛迅速缓解，视力有不同程度的提高，其中有5眼达0．1以上，15眼为0．02～0．08，7眼为眼前数指。术后眼压平均为23mmHg。5例患者发生视盘周围视网膜小片状出血，可能与眼压快速下降有关。1例穿刺后约5—8h眼压再次升高，遂再次放液。结论毫针穿刺放液较传统的注射针头穿刺放液损伤小、反应轻，是治疗急性闭角型青光眼发作期的辅助措施，可以缩短降眼压的时间以减轻患者痛苦，减轻因高眼压造成的视功能损害，避免了长时间大量应用常规降眼压药物可能引起的副作用，为青光眼的进一步治疗创造了条件。Objective To evaluate the clinical effects of the anterior chamber penetration using acupuncture needle on treating the sudden attack of the angle closure glaucoma. Methods Anterior chamber penetration using aeuptmeture needle was performed on twenty-seven patients with the sudden attack of the angle closure glaucoma after topical anaestetic. Results The mean intraocular pressure was over 60 mmHg（ 1 kPa = 7.5 mmHg） before the penetration and reduced to 23 mmHg as soon as the penetration was finished. None of the patients fell painfial during the operation and no complications occurred. Conclusion Anterior chamber penetration using acupuncture needle is one kind of effective, safe and simple method of treating the sudden attack of the angle closure glaucoma.

关 键 词：闭角型青光眼 急性发作 眼压 前房穿刺 

分 类 号：R775.2[医药卫生—眼科]