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目的探讨老年人在现代白内障摘除术中眼心反射发生情况以及术中哪些操作更易诱发眼心反射。方法由动态心电记录器分别记录术前及术中球后麻醉、软化眼球、上直肌牵引缝线、板层切开角巩膜缘、娩核及人工晶体植入等６项主要操作开始后３０～６０秒钟的心电活动。以每一手术步骤使心率减慢的次数超过其前一步骤心率的１０％为眼心反射阳性。结果３０例中有１０例（３３．３％）发生眼心反射，共发生１４次。除缝上直肌牵引缝线外，其余各项操作均记录到眼心反射。术中５例出现房性或室性早搏。结论现代白内障摘除术可影响老年人的心电活动。或许眼心反射的标准过于保守，有待重新修定。
Objective To investigate the incidence of ocular reflex in the elderly during cataract extraction and which operations are more likely to induce ocular reflex. Methods Six major operations, including preoperative and postoperative treatment of retrobulbar anastomosis, softening of the eyeball, traction of the upper rectus muscle, scleral margin of lamellar incision, delivery of nuclear and intraocular lens implantation, were recorded by Holter recorder 30 ~ 60 seconds of ECG activity. The ophthalmocentric reflex was positive for 10% of the heart rate that slowed down for each procedure over the previous step. Results 30 of 30 cases (33.3%) had ocular reflex, a total of 14 times. In addition to rectus traction traction suture, the rest of the operations were recorded to eye reflex. Intraoperative 5 cases of atrial or ventricular premature beats. Conclusions Modern cataract extraction can affect the electrocardiographic activity in the elderly. Perhaps the standard of eye reflection is too conservative to be revised.