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目的:观察应用益气养阴和血通络法联合视网膜激光光凝术治疗糖尿病视网膜病变临床疗效。方法:符合诊断标准的糖尿病视网膜病变III、IV期患者采用单盲法随机分成治疗组和对照组,治疗组42例78眼,对照组36例67眼,对照组在控制血糖、血压基础上,根据病情选择全视网膜光凝、区域性视网膜光凝或黄斑区格栅样光凝,治疗组在对照组基础上采用益气养阴和血通络法之自拟方糖网汤口服,观察治疗前后视力、裂隙灯下眼底、中心30°视野视敏度和荧光血管造影检查情况。结果:治疗组有效率89.73%,疗效明显高于对照组(P<0.05)。视野治疗前后变化治疗组治疗前后比较,差异显著(P<0.05),两组治疗后比较(P<0.05),有统计学意义。结论:采用益气养阴和血通络法治疗糖尿病视网膜病变疗效确切。
Objective: To observe the clinical effects of Yiqi Yangyin and Xuedutuo combined with retinal laser photocoagulation in the treatment of diabetic retinopathy. Methods: Patients with stage III and IV diabetic nephropathy who met diagnostic criteria were randomly divided into treatment group and control group by single-blind method. In treatment group, 42 patients (78 eyes) and 36 patients (36 eyes) received control group. On the basis of controlling blood glucose and blood pressure, According to the condition of panretinal photocoagulation, regional retinal photocoagulation or macular grid-like photocoagulation, the treatment group in the control group based on the use of qi and yin and blood Tongluo method of self-Tang Tang Tang, oral treatment, observation and treatment Before and after vision, slit lamp fundus, central 30 ° visual acuity and fluorescence angiography examination. Results: The effective rate of the treatment group was 89.73%, the curative effect was obviously higher than that of the control group (P <0.05). Before and after the change of visual field treatment group before and after treatment, the difference was significant (P <0.05), the two groups after treatment (P <0.05), with statistical significance. Conclusion: It is effective to treat diabetic retinopathy by supplementing qi and nourishing yin.