血栓通联合激光治疗糖尿病视网膜病变黄斑水肿的临床研究.docx

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血栓通联合激光治疗糖尿病视网膜病变黄斑水肿的临床研究

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【摘要】目的：研究血栓通联合激光治疗糖尿病视网膜病变黄斑水肿的临床疗效。方法：选取于2016年1月～2017年1月在我院接受治疗的糖尿病视网膜病变黄斑水肿患者120例，随机分为各有60例患者的观察组和对照组。在对两组患者进行对症治疗糖尿病的基础上，对照组患者采用激光治疗糖尿病视网膜病变黄斑水肿，观察组患者则采用血栓通联合激光治疗的方法。观察并对比治疗后两组患者治疗前后的眼部情况如视力和微血管瘤的个数等、眼部黄斑区荧光面积和眼底出血面积、黄斑中心厚度以及治疗有效率。结果：治疗后观察组患者的视力情况优于对照组且微血管瘤的个数明显少于对照组（P﹤0.05）；对照组患者的眼底出血面积和眼部黄斑区荧光面积明显大于观察组（P﹤0.05）；治疗后，观察组患者的黄斑中心厚度明显高于对照组（P0.05）；观察组的治疗有效率为95.00%，明显高于对照组的61.67%（P﹤0.05）。结论：采用血栓通联合激光治疗糖尿病视网膜病变黄斑水肿有明显的疗效，安全可行，值得在临床上推广应用。

【关键词】血栓通；激光治疗；糖尿病视网膜病变；黄斑水肿

ClinicalstudyofXueshuantongcombinedwithlaserinthetreatmentofdiabeticretinopathymacularedema

HuangHaihuiYulinRedCrosshospitalophthalmology

Yulin，guangxi，537000

[Abstract]Objective：TostudytheclinicaleffectofXueshuantongcombinedwithlaserinthetreatmentofdiabeticretinopathymacularedema.Method：120patientswithdiabeticretinopathyofmacularedemainourhospitalfromJanuary2016toJanuary2017wererandomlypidedintotheobservationgroupandthecontrolgroupof60patients.Onthebasisoftreatingdiabetesintwogroupsofpatientswithsymptomatictreatment，thecontrolgroupwastreatedwithlasertreatmentofdiabeticretinopathyofmacularedema，andthepatientsintheobservationgroupweretreatedwiththrombusandlasertherapy.Theeyeconditionsofthetwogroupswereobservedandcomparedbeforeandaftertreatment，suchasthenumberofvisualacuityandmicroangioma，theareaofocularmacularfluorescenceandtheareaoffundushemorrhage，thethicknessofthemacularcenter，andtheefficiencyoftreatment.Result：Aftertreatment，thevisualacuityoftheobservationgroupwasbetterthanthatofthecontrolgroup，andthenumberofmicroangiomawassignificantlylessthanthatofthecontrolgroup（P0.05）；Thefundushemorrhageareaandthemacularareafluorescenceareainthecontrolgroupweresignificantlylargerthanthoseintheobservationgroup（P0.05）；Aftertreatment，themacularcenterthicknessoftheobservationgroupwassignificantlyhigherthanthatofthecontrolgroup（P0.05）；Theeffectiverateoftheobservationgroupwas95%，whichwassignificantlyhigherthan61.67%ofthecontrolgroup（P0.05）.Conclusion：Xueshu