中西医结合治疗糖尿病性视网膜病变286眼疗效观察  

Therapeutic Effect of Chinese and Western Medicine on Diabetic Retinopathy:An Observation of 286 Eyes

作　　者：唐犀麟[1] 

机构地区：[1]广州中医药大学第三附属医院眼科,广东广州510360

出　　处：《新中医》2009年第6期40-41,共2页New Chinese Medicine

摘　　要：目的:观察中西医结合治疗糖尿病性视网膜病变的疗效。方法:将300例(420只眼)患者随机分为治疗组200例(286只眼),对照组100例(134只眼)。均采用氪激光光凝治疗,治疗组光凝后口服复方血栓通软胶囊、维生素C、维生素E;对照组光凝后口服维脑路通、维生素C、维生素E。结果:治疗组显效56只眼(19.6%),有效182只眼(63.6%),无效48只眼(16.8%),总有效率为83.2%。对照组显效26只眼(19.4%),有效58只眼(43.2%),无效50只眼(37.3%),总有效率为62.7%。2组总有效率比较,差异有显著性意义(P<0.05)。结论:复方血栓通软胶囊联合氪激光治疗糖尿病视网膜病变有较好疗效,能改善视力,减少视网膜光凝量,缩短病程,提高疗效。Objective:To observe the therapeutic effect of Chinese and western medicine on diabetic retinopathy(DP).Methods:Three hundred DP patients(involving 420 eyes) were randomized into 2 groups:200 patients(involving 286 eyes) were in the treatment group,and 100 patients(involving 134 eyes) were in the control group.The two groups received pholo-coagulation therapy and oral use of vitamin C and E,and additionally the treatment group received oral use of Xueshuangtong Soft Capsules,and the control group received oral use of Weinaolutong.Results: In the treatment group,56(19.6%) eyes were markedly effective,182(63.6%) eyes were effective, 48(16.8%) eyes were ineffective,and the total effective rate was 83.2%;in the control group,26(19.4%) eyes were markedly effective,58(43.2%) eyes were effective,50(37.3%) eyes were ineffective,and the total effective rate was 62.7%.The difference of the total effective rate was significant between the two groups(P<0.05).Conclusion:Xueshuangtong Soft Capsules combined with krypton laser therapy is effective for the treatment of DP,which has the effect of improving eyesight,reducing the dose of photo-coagulation therapy,and shortening the disease course.

关 键 词：糖尿病性视网膜病变 光凝疗法 多波长氪激光 复方血栓通软胶囊 

分 类 号：R774.1[医药卫生—眼科] R587.1[医药卫生—临床医学]