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异海葱苷对眼流体动力学和血液动力学的影响(作者译)

[The influence of isoglaucon on the hydrodynamics and haemodynamics of the eye (author's transl)].

作者信息

Bunin A J, Jakovlev A A, Jermakova V N, Konde L A

出版信息

Klin Monbl Augenheilkd. 1975 Oct;167(4):542-9.

PMID:1573
Abstract

By animal experiments and clinically we could prove that isoglaucon instillation caused the decrease in IOP due to both increase in outflow and reduction of humor secretion; the IOP decrease and changes in hydrodynamics being manifested more markedly in the fellow-eye. As reoophthalmography demonstrated "Isoglaucon" produced lumen narrowing in the anterior portion of the uveal tract. "Isoglaucon" was prescribed to 20 patients having open-angle-glaucoma, Two hours after instillation the 23 decreased in 26 eyes (of 28) by 9.3 +/- 1.0 mm Hg. When prescribed regularly "Isoglaucon" raised the outflow facility coefficient from 0.10 +/- 0.01 to 0.20 +/-0.02. The secretion decreased from 2.0 +/- 0.2 to 0.9 +/- 0.15. Thus, IOP decrease after "Isoglaucon" is accounted for by both improved outflow and reduction of aqueous humor secretion. The "isoglucon" instillation produced a rather moderate decrease in the total arterial pressure, though no expected parallelism in arterial and intraocular pressure was marked.

摘要

通过动物实验和临床研究,我们可以证明,滴注异绿屈挠酮可使眼压降低,这是由于房水流出增加和房水分泌减少所致;眼压降低和流体动力学变化在对侧眼表现得更为明显。视网膜血流造影显示,“异绿屈挠酮”可使葡萄膜前部管腔变窄。对20例开角型青光眼患者使用了“异绿屈挠酮”。滴注两小时后,28只眼中的26只眼眼压下降了9.3±1.0毫米汞柱。定期使用“异绿屈挠酮”时,房水流畅系数从0.10±0.01提高到0.20±0.02。房水分泌从2.0±0.2减少到0.9±0.15。因此,“异绿屈挠酮”使用后眼压降低是房水流出改善和房水分泌减少共同作用的结果。滴注“异绿屈挠酮”可使总动脉压有一定程度降低,不过,动脉压和眼压之间并未呈现预期的平行关系。

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