作　　者： (）;

机构地区： 江门市五邑中医院

出　　处： 《新中医》 2019年第6期166-168,共3页

摘　　要： 目的:观察滋阴化瘀通络方辅助治疗增殖期糖尿病视网膜病变(PDR)的临床疗效。方法:选取70例PDR患者,按随机数字表法分为治疗组和对照组各35例。2组均行玻璃体切除术,术中均予激光光凝治疗,治疗组术后予滋阴化瘀通络方治疗。比较2组视力、黄斑中心凹厚度的改善情况,记录患者术后眼内再出血及前房渗出情况。结果:治疗后,2组视力均较治疗前改善,差异均有统计学意义(P <0.05);组间比较,差异无统计学意义(P> 0.05)。治疗后,2组黄斑中心凹厚度均较治疗前减小,差异均有统计学意义(P <0.05);治疗组黄斑中心凹厚度小于对照组,差异有统计学意义(P <0.05)。2组术后眼内再出血发生率比较,差异无统计学意义(P> 0.05)。治疗组术后前房渗出发生率低于对照组(P <0.05)。结论:PDR玻璃体切除术后应用滋阴化瘀通络方治疗,临床疗效优于单纯手术治疗。 Objective:To observe the clinical effect of Ziyin Huayu Tongluo prescription in adjuvant treatment for proliferative diabetic retinopathy(PDR).Methods:Selected 70 cases of PDR patients and divided them into the treatment group and the control group according to random number table,35 cases in each group.Both groups were given vitrectomy and treated with laser photocoagulation during the operation.The treatment group was treated with Ziyin Huayu Tongluo prescription.Compared the improvement of visual acuity and the thickness of anterior chamber exudation between the two groups and recorded the incidence of the postoperative recurrent hemorrhage and anterior chamber exudation.Results:After treatment,the visual acuity of the two groups were improved when compared with those before treatment,differences being significant(P<0.05).There was no significant difference being found in the comparison between the two groups(P>0.05).After treatment,the thickness of macula central fovea in both groups was lower than that before treatment,differences being significant(P<0.05).The thickness of macula central fovea in the treatment group was smaller than that in the control group,difference being significant(P<0.05).There was no significant difference being found in the comparison of the incidence of intraocular recurrent hemorrhage between the two groups(P>0.05).The incidence of anterior chamber exudation in the treatment group was lower than that in the control group(P<0.05).Conclusion:The application of Ziyin Huayu Tongluo prescription after PDR vitrectomy has better clinical effect than that of operation alone.

关 键 词： 增殖期糖尿病视网膜病变 玻璃体切除术 滋阴化瘀通络方 视力 黄斑中心凹 眼内再出血 前房渗出

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