Clinical analysis of phacoemulsification on patients with cardiovascular disease

陈鹏; 贺翔鸽

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Clinical analysis of phacoemulsification on patients with cardiovascular disease

更新时间：2026-01-09

- Clinical analysis of phacoemulsification on patients with cardiovascular disease
- Journal of Army Medical University Vol. 29, Issue 1, Pages: 87-89(2007)
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  CLC： R540.6;R776.105
- Published：2007
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陈鹏,贺翔鸽.106例老年心血管病患者白内障超声乳化术中临床特征分析[J].陆军军医大学学报(原第三军医大学学报),2007,29(01):87-89.

　CHEN Peng,HE Xiang-ge.Clinical analysis of phacoemulsification on patients with cardiovascular disease[J].J Amry Med Univ (J Third Mil Med Univ),2007,29(01):87-89.
陈鹏,贺翔鸽.106例老年心血管病患者白内障超声乳化术中临床特征分析[J].陆军军医大学学报(原第三军医大学学报),2007,29(01):87-89. DOI：

　CHEN Peng,HE Xiang-ge.Clinical analysis of phacoemulsification on patients with cardiovascular disease[J].J Amry Med Univ (J Third Mil Med Univ),2007,29(01):87-89. DOI：

摘要

目的探讨老年心血管病患者白内障超声乳化手术中收缩压、舒张压、眼心反射及术后视力改善情况，为该类患者的治疗提供基础数据。方法选择2003年11月至2005年1月间资料完整的白内障超声乳化手术病例168例（182只眼），其中心血管病组97例（106只眼），对照组71例（76只眼）。观察2组患者手术过程中的血压、眼心反射、心电图指标变化情况。结果 2组术中各阶段平均收缩压较术前均有不同程度升高，但舒张压、眼心反射发生率、心电图变化情况、术后视力恢复情况组间差异不显著。结论术前合理用药、术中减少眼球刺激、加强监护可以确保老年心血管病患者白内障超声乳化手术的成功实施。

Abstract

Objective To investigate the changes of systolic pressure

diastolic pressure

oculocardiac reflex (OCR) and vision of patients suffering from cardiovascular disease when they applied phacoemulsification. Methods Totally 168 cases (182 eyes) who had underwent phacoemulsification were analyzed in random selection. Of all the cases

97 (106 eyes) were combined with cardiovascular disease

the others were without any general disease. The changes of blood pressure

OCR

ECG and vision were observed in two groups. Results Compared with preoperative period

the mean systolic blood pressure increased significantly during operation

but the differences of diastolic pressure

OCR

ECG and vision were not significant between the two groups. Conclusion The safety and reliability of the surgery depend on reasonable medication

careful surgical procedure and monitoring for the patients with cardiovascular disease in the peri-operation period.

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Department of Ophthalmology, First Affiliated Hospital, Army Medical University (Third Military Medical University)

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