Department of Ophthalmology and Visual Sciences, Osaka City University Graduate School of Medicine, Osaka, Japan.
PLoS One. 2022 Mar 22;17(3):e0265135. doi: 10.1371/journal.pone.0265135. eCollection 2022.
Diabetic patients often have systemic circulation diseases which may cause serious systemic complications during ophthalmic surgeries with local anesthesia. The purpose of this study is to evaluate the intraoperative alteration of the vital signs in diabetic patients during cataract surgery with local anesthesia.
Clinical records of 428 patients who underwent cataract surgeries with local anesthesia were reviewed. The parameters measured were systolic/diastolic blood pressures and pulse rates at pre-operation, 5, 10 and 15 minutes during the surgeries. The factors were compared between non-diabetic patients (n = 325) and diabetic patients (n = 103).
Diabetic patients had significantly higher fasting blood sugar and preoperative pulse rate. Diabetic patients showed significantly higher systolic blood pressure compared to non-diabetic patients at 5 and 10 minutes from the beginning of surgery (p = 0.0093 and 0.0075, respectively). In the non-diabetic patients, the pulse rate was significantly decreased at 5 minutes from the beginning of surgery (p = 4.74 x 10-8) which was maintained during the surgery, but no change was observed in the pulse rate of the diabetic patients.
Diabetic patients showed higher systolic blood pressure and pulse rate during cataract surgeries with local anesthesia, which should be monitored carefully by the physicians to avoid possible systemic complications.
糖尿病患者常患有全身性循环系统疾病，这可能会导致在局部麻醉下进行眼科手术时出现严重的全身性并发症。本研究旨在评估糖尿病患者在局部麻醉下进行白内障手术过程中的生命体征变化。
回顾了 428 名接受局部麻醉白内障手术患者的临床记录。测量的参数包括手术前、手术开始后 5、10 和 15 分钟时的收缩压/舒张压和脉搏率。将非糖尿病患者（n=325）和糖尿病患者（n=103）的这些因素进行了比较。
糖尿病患者的空腹血糖和术前脉搏率明显较高。与非糖尿病患者相比，糖尿病患者在手术开始后 5 和 10 分钟时的收缩压明显升高（分别为 p=0.0093 和 0.0075）。在非糖尿病患者中，手术开始后 5 分钟时脉搏率明显下降（p=4.74x10-8），并且在整个手术过程中保持不变，但糖尿病患者的脉搏率没有变化。
糖尿病患者在局部麻醉下进行白内障手术时，收缩压和脉搏率较高，医生应密切监测，以避免可能出现的全身性并发症。
