疑似青光眼患者24h眼压变化规律  

The 24-hour pattern of intraocular pressure in suspected glaucoma patients

作　　者：李珊珊[1] 李凤双 纪力旸 张策[1] 李静敏[1] Shan-Shan Li;Feng-Shuang Li;Li-Yang Ji;Ce Zhang;Jing-Min Li(Department of Ophthalmology,the Second Hospital of Dalian Medical University,Dalian 116027,Liaoning Province,China)

机构地区：[1]大连医科大学附属第二医院眼科,中国辽宁省大连市116027

出　　处：《国际眼科杂志》2018年第5期915-918,共4页International Eye Science

摘　　要：目的:分析疑似青光眼患者24h眼压的变化规律。方法:收集疑似青光眼患者48例96眼,使用Accupen手持眼压计(24-3000)和NCT非接触眼压计(CT-80)测量24h眼压,自7∶30开始,每2h测一次眼压,共12次,其中7∶30～21∶30测量坐位眼压,23∶30～5∶30测量坐位及卧位眼压。结果:两种眼压计测量的传统体位下24h眼压峰值均出现在7∶30,非接触眼压计测得的结果为22.05±3.608mmH g,手持式眼压计测得的结果为19.79±4.147mmH g。手持眼压计测得习惯性体位下眼内压峰值出现在5∶30,平均21.64±4.814mmH g,且两种体位24h眼内压谷值均出现在21∶30,谷值眼内压平均值为15.73±3.649mmH g。两种体位均呈夜间眼压逐渐升高,白天眼压逐渐下降的趋势。结论:疑似青光眼患者眼内压峰值多出现在清晨,夜间卧位眼压值较坐位眼压值高。AIM:To analyze the value of 24-hour intraocular pressure(IOP)monitoring in suspected glaucoma patients.METHODS:Totally 48 suspected glaucoma(96 eyes)were selected for 24-hour IOP monitoring by using Accupen tonometer(24-3000)and non-contact tonometer(NCT,CT-80A)from 9:30 to 7:30 next day(once in 2h).During 07:30 to 21:30,patients were measured in sitting position,while during 23:30 to 05:30 in both sitting and supine position.RESULTS:A morning peak of IOP was shown at 7:30 in traditional position by using two measures with 22.05±3.608mmHg of NCT and 19.79±4.147mmHg of Accupen tonometer.The peak IOP in habitual position appeared in 5:30 with 21.64±4.814mmHg.The lowest IOP occurred in both position at 21:30 with 15.73±3.649mmHg.Both positions showed IOP trend of going up at night and then declining in the morning.CONCLUSION:The peak IOP in suspected glaucoma occurs mostly at early morning.Supine IOP of sleeping time is higher than that of sitting position.

关 键 词：24h眼压 习惯性体位 青光眼 Accupen眼压计 

分 类 号：R775[医药卫生—眼科]