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目的:通过眼袋整复术观察眼心反射,并探讨其可能的发生机制及预防措施。方法:共对 80 例受术者进行眼袋整复,其中经结膜入路 42 例,经皮肤入路 38 例,术中进行动态心电图监测,分析比较术前、术中心率的变化。结果:眼心反射阳性标准:心率较术前每分钟减慢 10 次以上。所有病人中,共 13 例出现眼心反射,其中经结膜入路 8 例,经皮肤入路 5 例,均在提拉剪除眶隔脂肪时发生。眼心反射发生率为 16.25%。 结论:眼袋整复术中可以发生眼心反射,即出现心率减慢、心脏节律的改变。所以手术应轻柔、准确、快捷,以尽量避免眼心反射的发生。
Objective: To observe the ocular reflex through the under-the-eye pouch and explore its possible mechanism and preventive measures. Methods: A total of 80 patients underwent undergone eye bag reconstruction. Among them, 42 cases underwent transconjunctival approach and 38 cases received percutaneous transluminal approach. The changes of preoperative and postoperative heart rate were analyzed by dynamic electrocardiogram monitoring. Results: Positive eye reflex standard: heart rate slower than preoperative 10 times per minute or more. All patients, a total of 13 cases of ocular reflex, of which 8 cases by the trans-conjunctival approach, transdermal approach in 5 cases, all in pulling orbital septal fat occurs. Ocular reflex incidence was 16.25%. CONCLUSIONS: Ocular heart reflexes may occur during the process of under-the-eye pouch restoration, resulting in a slowing of heart rate and changes of cardiac rhythm. Therefore, surgery should be gentle, accurate and fast, in order to avoid the occurrence of ocular reflex.