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噻吗洛尔:长期结果、耐受性试验及清晨测量(作者译)

[Timolol: long-term results, tolerance test and early-morning measurements (author's transl)].

作者信息

Strempel I

出版信息

Klin Monbl Augenheilkd. 1979 Nov;175(5):619-26.

PMID:397970
Abstract

In a study lasting 16 months, Timolol was tested on 57 eyes of a group of selected patients with open-angle glaucoma. Patients whose IOP could not be stabilized with the 0.25% solution were treated with 0.5% drops twice a day. In five separate cases, where regulation was inadequate, pilocarpine 2% twice a day was prescribed in addition. At the end of 16 months' treatment pressure had been lowered to a statistically highly significant degree in 66% of the patients. While the degree of regulation in the remainder was not statistically sifnificant, most of them were adequately stabilized. Further, following stabilization with Timolol, 42% of the patients were subjected to tolerance tests under constant conditions (darkness test, water test, coffee and tea tolerance) and their 6.00 a.m.values were measured. While good pressure levels were recorded in the tolerance tests, the early-morning IOP rose to critical threshold levels in some patients. However, during the entire period of observation visual fields and optic disk findings remained unaltered in all cases. Only a few cases were subjective and/or objective side-effects seen. Ten percent of those patients who had been treated previously required new glasses (+0,5 to +1 D over the previous correction).

摘要

在一项为期16个月的研究中,对一组选定的开角型青光眼患者的57只眼睛进行了噻吗洛尔测试。眼压无法用0.25%溶液稳定的患者,每天用0.5%滴眼液治疗两次。在5个单独的病例中,调节不足,另外还开了2%毛果芸香碱,每天两次。治疗16个月后,66%的患者眼压降至具有统计学高度显著性的程度。其余患者的调节程度虽无统计学显著性,但大多数患者眼压得到了充分稳定。此外,在用噻吗洛尔稳定眼压后,42%的患者在恒定条件下接受了耐受性测试(黑暗测试、水测试、咖啡和茶耐受性测试),并测量了他们凌晨6点的眼压值。虽然耐受性测试中记录到了良好的眼压水平,但一些患者的清晨眼压升至临界阈值水平。然而,在整个观察期间,所有病例的视野和视盘检查结果均未改变。仅观察到少数主观和/或客观副作用病例。之前接受过治疗的患者中有10%需要新眼镜(比之前的矫正度数高+0.5至+1屈光度)。

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