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局部用马来酸噻吗洛尔对眼动脉血压的影响。

Effect of topical timolol maleate on the ophthalmic artery blood pressure.

作者信息

Grunwald J E, Furubayashi C

机构信息

Scheie Eye Institute, Department of Ophthalmology, School of Medicine, University of Pennsylvania, Philadelphia 19104.

出版信息

Invest Ophthalmol Vis Sci. 1989 Jun;30(6):1095-100.

PMID:2732023
Abstract

The effects of topical timolol maleate 0.5% on the ophthalmic artery diastolic (OABPd), systolic (OABPs) and mean blood pressure (OABPm) were investigated in 19 healthy subjects using compression ophthalmodynamometry. In a randomized, double-blind study, one eye of each subject received one drop of timolol maleate 0.5% and the fellow eye received a drop of placebo. Measurements of OABPd and OABPs were performed just prior to instillation of the drops, and then 2 hr later. OABPm was calculated as OABPm = OABPd + 1/3 (OABPs - OABPd). No significant changes in OABPd, OABPs or OABPm were observed following the drops in the timolol-treated eyes or in the placebo-treated eyes. A significant difference (P = 0.0198) was found, however, when the changes in OABPm occurring in the timolol-treated eyes were compared with the changes occurring in the placebo-treated eyes, suggesting that the drug may have an effect upon ophthalmic artery pressure and retinal artery pressure that is expressed differently in each eye.

摘要

采用压迫式眼压计,对19名健康受试者研究了0.5%马来酸噻吗洛尔滴眼液对眼动脉舒张压(OABPd)、收缩压(OABPs)和平均血压(OABPm)的影响。在一项随机双盲研究中,每位受试者的一只眼睛滴入一滴0.5%马来酸噻吗洛尔滴眼液,另一只眼睛滴入一滴安慰剂。在滴入滴眼液之前以及之后2小时测量OABPd和OABPs。OABPm的计算方式为OABPm = OABPd + 1/3(OABPs - OABPd)。在滴入噻吗洛尔治疗眼或安慰剂治疗眼的滴眼液后,未观察到OABPd、OABPs或OABPm有显著变化。然而,当比较噻吗洛尔治疗眼OABPm的变化与安慰剂治疗眼OABPm的变化时,发现存在显著差异(P = 0.0198),这表明该药物可能对眼动脉血压和视网膜动脉血压有影响,且在每只眼睛中的表现有所不同。

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