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目的观察激光视网膜光凝术联合中药内服治疗视网膜静脉阻塞的临床疗效。方法 101例(101眼)视网膜静脉阻塞病例,随机分为治疗组54例和对照组47例。对照组行单纯视网膜激光光凝术,治疗组激光结合中药汤剂内服,对两组治疗前后视力、眼底体征、FFA相关指标进行比较,进而评价其疗效。结果治疗后两组在提高视力,减少视网膜出血、水肿、渗出,抑制视网膜新生血管以及改善视网膜循环等方面疗效显著,且治疗组明显优于对照组。其中,治疗组与对照组总有效率分别为为88.89%和72.34%,具有显著性差异(P<0.05)。结论与单纯激光治疗相比较,激光结合中药治疗视网膜静脉阻塞对改善视功能、促进眼内病变体征消退,减少或预防并发症具有显著优势。
Objective To observe the clinical efficacy of laser retinal photocoagulation combined with oral administration of Chinese herbs in the treatment of retinal vein occlusion. Methods 101 patients (101 eyes) with retinal vein occlusion were randomly divided into treatment group (54 cases) and control group (47 cases). The control group received retinal laser photocoagulation alone. The treatment group was treated with laser combined with traditional Chinese medicine decoction. The visual acuity, ocular fundus signs and FFA related indexes were compared before and after treatment, and then the curative effect was evaluated. Results After treatment, the two groups were significantly effective in improving visual acuity, reducing retinal hemorrhage, edema, exudation, inhibiting retinal neovascularization and improving retinal circulation, and the treatment group was significantly better than the control group. Among them, the total effective rate of the treatment group and the control group was 88.89% and 72.34% respectively, with significant difference (P <0.05). Conclusion Compared with simple laser treatment, laser combined with traditional Chinese medicine in the treatment of retinal vein occlusion has the obvious advantages of improving visual function, promoting regression of intraocular lesions and reducing or preventing complications.