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应用扫频源光学相干断层扫描血管造影术定量评估青年足球运动员急性无氧运动对黄斑灌注的影响。

Quantitative assessment of the effect of acute anaerobic exercise on macular perfusion via swept-source optical coherence tomography angiography in young football players.

机构信息

Selcuk Universitesi Tip Fakultesi, Konya, Turkey.

出版信息

Int Ophthalmol. 2020 Jun;40(6):1377-1386. doi: 10.1007/s10792-020-01303-w. Epub 2020 Feb 15.

Abstract

AIM

To evaluate the effect of acute anaerobic exercise on macular perfusion measured by swept-source optical coherence tomography angiography (SS-OCTA) in young football players.

MATERIALS AND METHODS

Football players with ages between 18 and 20 years were included into the study. After a detailed ophthalmological examination, physiological parameters including height (cm), body weight (kg), body fat percentage (%), systemic blood pressure (BP) (mmHg), hematocrit values (%), oxygen saturation pO (%) and heart rate (bpm) were recorded. Intraocular pressure (IOP) (mmHg) and SS-OCTA using DRI OCT Triton (Topcon, Tokyo, Japan) were measured immediately before and after Wingate test.

RESULTS

Out of 20, 16 participants completed the study. All participants were males with a mean age of 18.12 ± .34 years. Systolic BP, hematocrit and heart rate increased, while pO and IOP decreased remarkably after Wingate test (p < .01). After anaerobic exercise, there was an increase in mean FAZ area in superficial capillary plexus (FAZs) which was not significant (p = .13), while decrease in FAZ area in deep capillary plexus (FAZd) (mm) was remarkable (p = .04). No changes were observed in mean vessel density (VD) (%) in superficial capillary plexus (VDs), deep capillary plexus (VDd), choriocapillaris (VDcc), central macular thickness (CMT) (μm) and subfoveal choroidal thickness (SFCT) (μm) after Wingate test (p > .05). FAZd and some of the VD parameters showed a significant correlation with BP (p < .05).

CONCLUSION

Acute anaerobic exercise seems not to alter either mean VD in retina and choroid or CMT and SFCT. Among OCTA parameters, only FAZd decreased remarkably.

摘要

目的

评估青年足球运动员急性无氧运动对扫频源光学相干断层扫描血管造影(SS-OCTA)测量的黄斑灌注的影响。

材料和方法

纳入年龄在 18 至 20 岁之间的足球运动员。经过详细的眼科检查,记录生理参数,包括身高(cm)、体重(kg)、体脂百分比(%)、全身血压(mmHg)、红细胞压积值(%)、氧饱和度 pO(%)和心率(bpm)。在 Wingate 测试前后立即测量眼内压(mmHg)和使用 DRI OCT Triton(Topcon,东京,日本)的 SS-OCTA。

结果

20 名参与者中有 16 名完成了研究。所有参与者均为男性,平均年龄为 18.12±0.34 岁。Wingate 测试后,收缩压、红细胞压积和心率显著增加,而 pO 和眼压显著降低(p<0.01)。无氧运动后,浅层毛细血管丛(FAZs)的平均 FAZ 区域增加,但无统计学意义(p=0.13),而深层毛细血管丛(FAZd)的 FAZ 区域减少有显著意义(p=0.04)。Wingate 测试后,浅层毛细血管丛(VDs)、深层毛细血管丛(VDd)、脉络膜毛细血管(VDcc)、中央黄斑厚度(CMT)(μm)和中心凹下脉络膜厚度(SFCT)(μm)的平均血管密度(VD)(%)没有变化(p>0.05)。FAZd 和一些 VD 参数与血压呈显著相关(p<0.05)。

结论

急性无氧运动似乎不会改变视网膜和脉络膜的平均 VD 或 CMT 和 SFCT。在 OCTA 参数中,只有 FAZd 显著减少。

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