| 수정체유화술을 시행받는 환자의 혈압 변화 |
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전은정, 정성근 |
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Department of Ophthalmology, The Catholic University of Korea College of Medicine, Seoul, Korea |
| The Changes of Blood Pressure during Phacoemulsification |
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Eun-Jung Jun, Sung Kun Chung |
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| Abstract |
Purpose
To evaluate the influence of phacoemulsification on blood pressure for safer patient care. Methods: We conducted a prospective study in which we checked and compared the patients' blood pressures at admission, on entering the preparation room right after reducer application, before and during phacoemulsification with topical anesthesia and on returning to admission room after operation. The patients comprised 60 normotensive and 24 hypertensive patients confirmed by cardiac specialists. Results: Significant elevation of blood pressure was noted during phacoemulsification in normotensive patients. The mean difference between the two occasions (blood pressures checked at admission and during phacoemulsification) was 26.15 mmHg in systole and 7.26 mmHg in diastole in normotensive patients (p= 0.001). In hypertensive patients, despite on antihypertensive medications, systolic blood pressure significantly increased (19.4 mmHg) during phacoemulsification compared to the baseline value (p=0.005). The diastolic pressure increased by 4.08 mmHg. The elevation of systolic and diastolic blood pressure was 26.15 and 7.26 mmHg respectively in normotensive patients. Conclusions: Close monitoring of blood pressure is needed during phacoemulsification and special attention is required for hypertensive patients. (Korean J Optom Vis Sci 2007;6(1):19-23) |
| Key Words:
Blood pressure, Phacoemulsification |
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