伴高血压急性闭角型青光眼病人急诊处理观察

The Immediate Treatment of Acute Primary Angle Closure Glaucoma with High Blood Pressure

目的观察前房穿刺术对闭角型青光眼伴高血压病人经降眼压治疗后血压的控制情况。方法分析64例64眼急性闭角型青光眼,经前房穿刺术后的眼压及血压的控制情况。结果64例病人前房穿刺术前的收缩压为195.10±15.24mmHg,舒张压为117.1±11.76mmHg,眼压为68.64±10.05mmHg,治疗后的收缩压为138.82±20.86mmHg,舒张压为93.19±12.07mmHg,眼压为10.66±4.41mmHg,经配对t检验,收缩压、舒张压、眼压治疗前后的差值有统计学意义。结论对于急性闭角型青光眼病人,前房穿刺术可以快速降低眼压,对于伴有高血压的病人有利于血压的控制。

Objective To investigate the effects on intraocular pressure and blood pressure following anterior chamber paracentesis in acute primary angle closure glaucoma with high blood pressure. Methods 64 eyes of 64 glaucoma patients with high blood pressure were received anterior chamber paraeentesis, the intraoeular pressure and blood pressure were measured before and after paraeentesis. Results The mean systolic blood pressure（SBP） and diastolic blood pressure（DBP） before paraeentesis of 64 glaucoma were 195. 10 ± 15.24mmHg and 117.1 ± 11.76mmHg respectively,after administration of paraeentesis ,the SBP and DBP were 138.82 ± 20.86mmHg and 93.19 ± 12.07mmHg respectively,the intraocular pressure also significantly decreased from 68.64 ± 10.05mmHg to 10.66 ±4.41mmHg. There was statistical difference in SBP, DBP and intraoeular pressure before and after administration of paraeentesis. Conclusions Administration of paraeentesis in acute primary angle closure glaucoma with high blood pressure can significantly reduce intraocular pressure and blood pressure simultaneously.