论文部分内容阅读
目的观察中药联合532 nm激光光凝治疗重度非增殖性糖尿病视网膜病变(NPDR)的临床疗效。方法将90例(174眼)患者分为治疗组47例(89眼),经中药舌下含服联合全视网膜光凝,对照组43例(85眼)仅全视网膜光凝。观察比较治疗后3个月内视力、FFA情况的分析。结果两组患者治疗后1月、1.5月视力比较,治疗组明显优于对照组,差异具有统计学意义(P<0.05);两组患者在激光术后1月,复查FFA,治疗组明显优于对照组,差异具有统计学意义(P<0.05)。结论中药联合全视网膜光凝比单纯视网膜光凝更能快速有效地改善患者视力,减少无灌注区形成,增加患者依从性。
Objective To observe the clinical efficacy of traditional Chinese medicine combined with 532 nm laser photocoagulation in the treatment of severe non-proliferative diabetic retinopathy (NPDR). Methods Totally 90 eyes (174 eyes) were divided into treatment group (n = 47) (89 eyes), sublingual combined with panretinal photocoagulation, and control group (n = 85) only panretinal photocoagulation. Observation and comparison of visual acuity and FFA within 3 months after treatment were analyzed. Results The visual acuity of the two groups after 1 month and 1.5 months of treatment was significantly better in the treatment group than in the control group (P <0.05). The two groups of patients underwent FFA review after 1 month of laser surgery and the treatment group was significantly better In the control group, the difference was statistically significant (P <0.05). Conclusion Traditional Chinese medicine combined with panretinal photocoagulation more quickly and effectively improve visual acuity than simple retinal photocoagulation, to reduce the formation of non perfusion zone, increase patient compliance.