高压氧治疗迁延性中心性浆液性脉络膜视网膜病变  

The treatment with hyperbaric oxygen of the persistent central serous chorioretinopathy

作　　者：吴瑜瑜[1] 黄松春[1] 陈淑旬 洪玉[1] 骆炯民[1] 蔡英英[2] 

机构地区：[1]福建医科大学附属第二医院眼科,362000 [2]福建医科大学附属第二医院,362000

出　　处：《中国实用眼科杂志》1999年第9期555-556,共2页Chinese Journal of Practical Ophthalmology

摘　　要：目的　探讨高压氧对迁延性 Ｃ Ｓ Ｃ患者的疗效。方法　选择药物治疗三个月以上无效的病例作为试验组， 共 ４７ 例５５ 眼， 采用高压氧舱压力为 ２５ Ａ Ｔ Ａ， 每日治疗 １ 次， 每 １０ 次为一疗程， 观察时间 ２ 个月。随机选择 ４５ 例５１ 眼同期诊断为迁延性 Ｃ Ｓ Ｃ的患者作为对照组， 采用单纯药物治疗。结果　试验组痊愈 ２２ 例 ２６ 眼 （４７２７％ ）， 有效 １７ 例 ２０ 眼 （３６２１％ ）， 总有效率 ８２７６％ 。对照组痊愈无， 有效１５ 例 １７ 眼 （３３３３％ ）， 总有效率 ３３３３％ 。 Ｘ２ ＝ ２７７７， Ｘ２ ＞ ２７６９， Ｐ＜ ００１。提示　高压氧能明显缩短 Ｃ Ｓ Ｃ病程， 提高疗效， 高压氧治疗迁延性 Ｃ Ｓ Ｃ具有一定的临床价值。Purpose:To detect the effect of treating persistent CSC with hyperbari oxygen.Methods:47 patients(55 eyes)of the persistent CSC were treated with hyperbaric oxygen,once in every day,A process has ten times.The pressure of hyperbaric oxygen was 2 5 ATA,45 cases(51 eyes)were contrasted at the same time who were treated with drugs,There were observed during two month.Results:Recovery in the hyperbaric oxygen group was 22 cases(26 eyes)(47 27%),17cases(20eyes)was efficacious(36 21%),Total efficiency:82 76% and in the contrasted group,recovery was 0 cases,15 cases(17 eyes)was efficacious(33 33%),Total efficiency(33 33%),Total efficiency:33 33%.There were marked differnece between the two groups(P<0 01).Conclusion:Hyperbaric oxygen can decreases process of persistent CSC obviously,It can improves effect treating persisten CSC,It is considered that the treatment with hyperbaric oxygen of the persistent CSC is a effective method.

关 键 词：浆液性 脉络膜 视网膜病变 高压氧疗法 

分 类 号：R774.120.5[医药卫生—眼科] R459.6[医药卫生—临床医学]