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短期复测时,闪烁光引起的视网膜小动脉扩张减少。

Retinal arteriolar dilation to flicker light is reduced on short-term retesting.

机构信息

Centre for Eye Research Australia, University of Melbourne, Royal Victorian Eye and Ear Hospital, Melbourne, Victoria, Australia.

出版信息

Invest Ophthalmol Vis Sci. 2013 Nov 21;54(12):7764-8. doi: 10.1167/iovs.13-12525.

Abstract

PURPOSE

To investigate the impact of retesting frequency over a short period on flicker light-induced retinal vasodilation.

METHODS

Twenty healthy participants were included. The retinal vascular response to flicker light stimulation was assessed three times (at baseline and after 5 and 30 minutes of rest [tests 1, 2, and 3, respectively]) in each participant using the Dynamic Vessel Analyzer. Relative dilations of selected arteriole and venule segments during flicker stimulation and resting diameters were measured automatically. The mean vessel dilations and resting diameters were compared using repeated-measures analysis of variance.

RESULTS

Participants were young (mean [SD] age, 33.1 [5.7] years) and mostly female (70%). The mean (SD) maximum arteriolar dilations during flicker stimulation were 3.23% (2.06%), 2.44% (1.62%), and 3.36% (2.11%) in tests 1, 2, and 3, respectively. The mean (SD) venular dilations were 4.26% (1.28%), 3.81% (1.61%), and 4.43% (1.73%) in tests 1, 2, and 3, respectively. The mean arteriolar dilations were significantly different across the three tests (P < 0.001). Compared with test 1, arteriolar dilations were significantly reduced after 5 minutes (P = 0.008) but not 30 minutes (P = 0.437) of rest. No significant differences were found over time for the mean venular dilations (P = 0.128). Resting diameters of selected vessels were not significantly different between tests.

CONCLUSIONS

Retinal arteriolar dilation during flicker stimulation is reduced on short-term retesting, without a significant change in baseline vessel diameter, indicating decreased responsiveness to the flicker stimulus. Researchers should allow at least 30 minutes between consecutive tests to minimize suppression of the flicker response.

摘要

目的

研究短期内重复测试频率对闪烁光诱导视网膜血管舒张的影响。

方法

纳入 20 名健康参与者。使用动态血管分析仪,分别在每个参与者的基线以及休息 5 分钟和 30 分钟后(分别为测试 1、2 和 3),三次评估闪烁光刺激下的视网膜血管反应。自动测量闪烁刺激期间选定的动脉和静脉段的相对扩张以及休息时的直径。使用重复测量方差分析比较平均血管扩张和休息直径。

结果

参与者年龄较轻(平均[标准差]年龄 33.1[5.7]岁),大多数为女性(70%)。闪烁刺激期间最大动脉扩张的平均值(标准差)分别为测试 1、2 和 3 中的 3.23%(2.06%)、2.44%(1.62%)和 3.36%(2.11%)。静脉扩张的平均值(标准差)分别为测试 1、2 和 3 中的 4.26%(1.28%)、3.81%(1.61%)和 4.43%(1.73%)。三次测试的平均动脉扩张差异均有统计学意义(P<0.001)。与测试 1 相比,休息 5 分钟后(P=0.008)但 30 分钟后(P=0.437)动脉扩张显著减少。平均静脉扩张随时间无显著差异(P=0.128)。选定血管的休息直径在各测试之间无显著差异。

结论

在短期重复测试中,闪烁刺激期间视网膜动脉扩张减少,而基线血管直径无明显变化,表明对闪烁刺激的反应性降低。为了最小化闪烁反应的抑制,研究人员应至少在两次连续测试之间留出 30 分钟的时间。

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