高压氧对糖尿病视网膜病变的影响  

Hyperbaric oxygen on the impact of diabetic retinopathy

作　　者：黄锦欢[1] 覃灿彬[1] 

机构地区：[1]玉林市第二人民医院内分泌科,广西玉林537000

出　　处：《四川医学》2011年第4期521-523,共3页Sichuan Medical Journal

摘　　要：目的观察高压氧对糖尿病视网膜病变的疗效。方法 82例糖尿病视网膜病变患者随机分为观察组和对照组各41例,两组均给予羟苯磺酸钙胶囊口服及糖尿病综合治疗,在此基础上,观察组辅予高压氧治疗,并检测治疗前后两组患者眼底的变化和血液流变学指标变化。结果观察组显效21例,有效16例,无效4例,总有效率90.24%;对照组显效15例,有效13例,无效13例,总有效率68.29%,两者比较差异有统计学意义(P<0.05)。治疗后两组血液流变学指标均下降,观察组下降更显著,改善更理想,两组比较差异有统计学意义(P<0.01)。结论高压氧可显著改善糖尿病患者的血液流变学异常,改善患者视网膜缺血、低氧状态,对糖尿病视网膜病变有较好的疗效。Objective Observation of hyperbaric oxygen on diabetic retinopathy.Methods 82 patients with diabetic retinopathy were randomly divided into group and control group（n=41）,two groups were given oral calcium dobesilate and comprehensive treatment of diabetes,on this basis,the observed secondary to the hyperbaric oxygen group treatment,and patients were detected before and after treatment fundus changes and blood rheology were observed.Results Group,21 cases were excellent,effective in 16 cases,4 cases of no avail,total effective rate of 90.24%;control group,15 cases were excellen,effective in 13 cases,13 cases of no avail,the total effective rate 68.29%,the difference was statistically significant（P0.05）.After treatment,blood rheology decreased in the observation group decreased more significantly,to improve the better,the difference was statistically significant（P0.01）.Conclusion Hyperbaric oxygen can significantly improve abnormal blood rheology,improve patient retinal ischemia,hypoxia,diabetic retinopathy has a better effect.

关 键 词：高压氧 羟苯磺酸钙 糖尿病视网膜病变 

分 类 号：R774.1[医药卫生—眼科]