足月正常新生儿表面麻醉下使用眼压笔测量眼压
Tono-pen measurement of intraocular pressure under topical anaesthesia in full term normal newborns.
作者信息
Reddy Sagili Chandrasekhara, Alias Rosnita
机构信息
Department of Ophthalmology, School of Medical Sciences, University Sains Malaysia, Kubang Kerian 16150, Kelantan, Malaysia.
出版信息
Int J Ophthalmol. 2014 Feb 18;7(1):92-4. doi: 10.3980/j.issn.2222-3959.2014.01.16. eCollection 2014.
AIM
Tono-pen measurement of intraocular pressure (IOP) under topical anaesthesia in full term normal newborns.
METHODS
The IOP measurements were taken using Tono-pen XL tonometer under topical anaesthesia in 150 newborns (300 eyes) within 24h after birth, over a period of three months, in a university hospital. Gender, gestation period, mode of delivery and birth weight of newborns were noted from medical records.
RESULTS
There were 70 males and 80 females. All babies were Malays. The IOP measurements were taken between 12 and 24h after birth. The gestation period of babies ranged between 37 and 41 weeks; 118 babies were delivered by spontaneous vaginal delivery and 32 by caesarian section. The birth weight of babies ranged between 2.1 and 4.3kg. The mean IOP of 300 eyes was 15.99±2.79mmHg (range 8-22). There was no statistically significant difference of mean IOP and gender, laterality of eye, type of delivery, gestation age, or birth weight of newborns.
CONCLUSION
The IOP in full term normal newborns was 16mmHg. Tono-Pen appears to be ideal instrument for taking IOP in newborns because of its small size and easy handling.
目的
在足月正常新生儿中进行表面麻醉下的眼压（IOP）非接触眼压计测量。
方法
在一家大学医院，于出生后24小时内，使用Tono - pen XL眼压计在表面麻醉下对150名新生儿（300只眼）进行眼压测量，为期三个月。从病历中记录新生儿的性别、妊娠期、分娩方式和出生体重。
结果
有70名男性和80名女性。所有婴儿均为马来人。眼压测量在出生后12至24小时之间进行。婴儿的妊娠期在37至41周之间；118名婴儿通过自然阴道分娩，32名通过剖宫产。婴儿的出生体重在2.1至4.3千克之间。300只眼的平均眼压为15.99±2.79mmHg（范围8 - 22）。新生儿的平均眼压与性别、眼别、分娩类型、胎龄或出生体重之间无统计学显著差异。
结论
足月正常新生儿的眼压为16mmHg。Tono - Pen因其体积小且易于操作，似乎是测量新生儿眼压的理想仪器。
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