机器人辅助全膀胱切除术中患者头低足高位对眼压的影响

发布时间：2019-01-23 19:58

【摘要】：目的探讨机器人辅助根治性全膀胱切除术中患者头低足高位对眼压的影响并分析其影响因素。方法对41例机器人辅助根治性全膀胱切除术患者,测量平卧位麻醉诱导后10 min内(T1),头低足高位后10 min内(T2)、1 h(T3)、2 h(T4)、3 h(T5),体位恢复水平位后10 min内(T6)和2 h(T7)的眼压。记录患者的一般资料、头低足高位持续时间和角度等。结果头低足高位期间眼压为(24.88±2.61)mm Hg,高于正常眼压值。头低足高位期间眼压值均高于水平位,且随着时间延长,眼压明显升高。多元线性回归分析结果显示,头低足高位持续时间、角度和术中失血量为眼压变化的影响因素,可共同解释眼压61.2%的变异。结论机器人辅助根治性全膀胱切除术中头低足高位使患者术中眼压升高。
[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 卤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.
【作者单位】：上海市上海交通大学医学院附属仁济医院手术室;
【分类号】：R472.3

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