增强型体外反搏治疗糖尿病视网膜病变的观察  

Clinical Study in Patients with Diabetic Retinopathy Treated with Enhanced External Counterpulsation

作　　者：刘韶瑞[1] 马翠萍[1] 骆荣江[1] 卫国红[2] 谢强[3] 廖瑞端[1] 

机构地区：[1]中山大学附属第一医院眼科,广东广州510080 [2]中山大学附属第一医院内分泌科,广东广州510080 [3]中山大学附属第一医院体外反搏室,广东广州510080

出　　处：《中山大学学报（医学科学版）》2011年第5期648-652,共5页Journal of Sun Yat-Sen University:Medical Sciences

基　　金：广东省科技计划项目(2008B030301083)

摘　　要：【目的】观察增强型体外反搏联合药物治疗糖尿病视网膜病变的疗效。【方法】前瞻性对照病例研究,抽取103名糖尿病视网膜病变患者的临床资料,包括全身和眼部的诊治详情。将患者随机分为两组,A组53例患者(83眼)行增强型体外反搏联合药物治疗,B组50例患者(74眼)行单纯药物治疗,并根据视力、眼底荧光造影、血流动力学等指标评价和比较增强型体外反搏联合药物治疗糖尿病视网膜病变和单纯药物治疗两种方法的疗效。【结果】A组患者经治疗后视力、眼底改变、血流动力学等各项指标明显改善,总有效率高于单纯药物治疗者(P<0.05)。【结论】增强型体外反搏联合药物治疗糖尿病视网膜病变疗效显著,且安全可靠,可显著提高患者视力,减轻眼底病变,改善血流动力学等各项指标,值得推广。【Objective】 To evaluate the clinical effect in the patients with diabetic retinopathy（DR） treated with enhanced external counterpulsation（EECP） combined with drug.【Methods】 This study was a retrospective review of 103 patients with diabetic retinopathy.A total of 53 patients（83 eyes） who treated with EECP combined with drug were formed group A and the other 50 patients（74 eyes） who only treated with medication were formed group B.We analyzed the clinical effect of two groups by comparing the visual acuity,fundus fluorescein angiography（FFA） and optical hemodynamics.【Results】 There were significant improvement in group A with visual acuity,FFA and optical hemodynamics,and there were statistically significant differences between group A and group B（P0.05）.【Conclusions】Ophthalmologists must be alert for diabetes.Diabetic retinopathy and the patient＇s vision could be improved effectively by EECP and the therapy have not evident complications.

关 键 词：增强型体外反搏 糖尿病视网膜病变 疗效 

分 类 号：R77[医药卫生—眼科]