重度阻塞性睡眠呼吸暂停综合征是否会改变球后血流？一项彩色多普勒超声研究。
Does severe obstructive sleep apnea syndrome alter retrobulbar blood flow? A color Doppler ultrasound study.
作者信息
Çekiç Bülent, Selçuk Ömer Tarık, Toslak İclal Erdem, Osma Üstün, Eyigör Hülya, Erol Muhammed Kazım
机构信息
Department of Radiology, Antalya Education and Training Hospital, Medical Sciences University, 070030, Antalya, Turkey.
Department of Otorhinolaryngology, Antalya Training and Research Hospital, Antalya, Turkey.
出版信息
J Med Ultrason (2001). 2018 Jul;45(3):487-492. doi: 10.1007/s10396-018-0860-7. Epub 2018 Jan 23.
PURPOSE
To evaluate extraocular orbital vessels with color Doppler ultrasound (CDU) and investigate the effects of severe obstructive sleep apnea (OSA) on retrobulbar blood flow.
METHODS
Between February 2014 and September 2015, 30 patients with severe OSA (apnea-hypopnea index (AHI) > 30) and 28 controls were prospectively included in this study. Intraocular pressure (IOP) was measured with a Goldmann applanation tonometer, and CDU was used to evaluate the retrobulbar vessels.
RESULTS
The mean AHI score for the OSA group was 63.2 ± 21.5 per hour. The IOP values were significantly higher in the severe OSA group (p < 0.05). The central retinal artery peak systolic velocity (PSV) (p < 0.05) and end-diastolic velocity (EDV) (p < 0.02), and the ophthalmic artery (OA) PSV and EDV, were found to be significantly lower in the OSA group (p < 0.05).
CONCLUSION
Severe OSA causes an increase in IOP and a decrease in flow velocity in the retrobulbar circulation.
目的
用彩色多普勒超声（CDU）评估眼外眶血管，并研究重度阻塞性睡眠呼吸暂停（OSA）对球后血流的影响。
方法
2014年2月至2015年9月期间，前瞻性纳入30例重度OSA患者（呼吸暂停低通气指数（AHI）>30）和28例对照者。用Goldmann压平眼压计测量眼压，并使用CDU评估球后血管。
结果
OSA组的平均AHI评分为每小时63.2±21.5。重度OSA组的眼压值显著更高（p<0.05）。发现OSA组的视网膜中央动脉收缩期峰值速度（PSV）（p<0.05）和舒张末期速度（EDV）（p<0.02），以及眼动脉（OA）的PSV和EDV均显著更低（p<0.05）。
结论
重度OSA导致眼压升高和球后循环血流速度降低。
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