非增殖期糖尿病性视网膜病变临床治疗分析  

Analysis of treatment on non-proliferative diabetic retinopathy

作　　者：杜善双[1] 段琼[2] 朱忠桥[1] 刘蓓[1] 

机构地区：[1]中国陕西省西安市第四医院眼科,710004 [2]西安高新医院眼科,中国陕西省西安市710077

出　　处：《国际眼科杂志》2010年第10期1984-1985,共2页International Eye Science

摘　　要：目的:探讨视网膜局部光凝术联合药物治疗非增殖性糖尿病性视网膜病变(non-proliferative diabetic retinopathy,NPDR)的效果。方法:利用532半导体绿激光机对III期糖尿病视网膜病变(diabeticretinopathy,DR)患者进行局部光凝,应用药物控制患者血糖、血压、血脂和血流变。结果:治疗后185眼中视力提高及稳定者168眼,有效率90.8%,视力下降及出现并发症者17眼(9.2%),治疗前后有显著的临床意义。结论:局部视网膜光凝术联合药物治疗NPDR安全有效。AIM. To investigate the result of the local retinal photocoagulation in combination with phamacological treatment for patients with non-proliferative diabetic retinopathy（ NPDR）. METHODS： Partial photocoagulation with 532 semiconductor green laser has been used on patients with stage III diabetic retinopathy （ DR ）, combined with the administation of drugs to control blood glucose, blood pressure, blood lipid and hemorheology. RESULTS： Among 185 treated eyes,visual acuity of 168 eyes （ 90. 8% ） was improved and stabilized after treatment. decreased visual acuity and complications happened in 17 eyes （9. 2%）, there was significant difference between the pre-treatment and post treatment. CONCLUSION ： Local retinal photocoagulation combined with drug treatment for patients with NPDR are safe and effective.

关 键 词：糖尿病性视网膜病变 局部激光光凝术 药物治疗 血糖 血压 血脂 血流变 

分 类 号：R774.1[医药卫生—眼科]