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[肾上腺素能药物的血管效应及其对眼压的作用(作者译)]

[Vascular effects of adrenergic drugs and their action on intraocular pressure (author's transl)].

作者信息

Virno M, Pellegrino N, Pecori-Giraldi J, Latinovic S

出版信息

Klin Monbl Augenheilkd. 1977 Apr;170(4):570-8.

PMID:886798
Abstract

By means of the continuous contemporary recording of arterial blood pressure and intraocular pressure, the relationship between the two parameters was analyzed following the intravenous administration of adrenergic drugs. The aim was that of determining if during a change in systemic blood pressure the behaviour of intraocular pressure may indicate an active or passive participation to such a change. In the present studies the most important representatives of the different adrenergic groups (adrenalin, dibenamin, ergotamin, propranolol and isoproterenol) were taken in consideration. The results in normal eyes and in eyes with experimental hypertension showed that the adrenergic drugs affect the intraocular presure through a primary vasomotorial effect. An active vasodilatation of the intraocular vessels could not be demonstrated, whereas an active (adrenalin, ergotamin) as well as a passive (propranolol, isoproterenol) vasoconstriction was evidenced. The present studies allow an interpretation of the ocular hypotonizing mechanism of action of adrenergic drugs.

摘要

通过连续同步记录动脉血压和眼压,在静脉注射肾上腺素能药物后分析了这两个参数之间的关系。目的是确定在全身血压变化期间,眼压的变化是否表明其对这种变化有主动或被动参与。在本研究中,考虑了不同肾上腺素能组的最重要代表药物(肾上腺素、双苄胺、麦角胺、普萘洛尔和异丙肾上腺素)。正常眼和实验性高血压眼的结果表明,肾上腺素能药物通过主要的血管运动效应影响眼压。未证实眼内血管有主动扩张,而证实有主动(肾上腺素、麦角胺)以及被动(普萘洛尔、异丙肾上腺素)血管收缩。本研究有助于解释肾上腺素能药物降低眼压的作用机制。

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