糖尿病视网膜病变患者激光治疗后视力以及黄斑水肿的情况分析  

Analysis of vision and the situation macular edema lesions after laser treatment of diabetic retinopathy

作　　者：杨新爱 

机构地区：[1]河南省郸城县人民医院眼科,477150

出　　处：《中国基层医药》2015年第2期264-266,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的 探讨糖尿病视网膜病变患者激光治疗后视力以及黄斑水肿变化情况.方法 选取92例糖尿病视网膜病变患者为研究对象,均采用激光治疗,其中增殖性糖尿病视网膜病变组（NPDR组）患者采取全视网膜光凝治疗,非增殖性糖尿病视网膜病变组（PDR组）患者采取次全视网膜光凝治疗,比较两组治疗前后视力变化情况及黄斑水肿改善情况.结果 接受治疗后,相比于治疗前,两组患者视力均显著改善[（0.49 ±0.08）°与（0.43±0.09）°;（0.48±0.09）°与（0.44 ±0.07）°],差异具有统计学意义（t=3.728、2.104,均P＜0.05）;治疗后NPDR组与PDR组视力差异无统计学意义（P＞0.05）;相比于治疗前,两组治疗后黄斑中心凹视网膜厚度均显著降低[（253.41 ±66.73） μm与（393.36±92.18） μm;（287.25±61.57）μm与（388.02±89.83） μm],差异具有统计学意义（t=6.233、3.541,均P＜0.05）;治疗后NPDR组较PDR组黄斑中心凹视网膜厚度显著降低,差异具有统计学意义（t=2.445,P＜0.05）.结论 采用激光治疗糖尿病视网膜病变能显著改善患者视力及黄斑水肿,在非增殖性糖尿病视网膜病变期效果更佳,值得在临床上进一步推广.Objective To investigate the changes in visual acuity and macular edema lesions after laser treatment of diabetic retinopathy.Methods 92 patients with diabetic retinopathy were chosen for this study,they were treated with laser treatment,proliferative diabetic retinopathy （NPDR group） to take the whole retinal photocoagulation treatment of patients with non-proliferative diabetic retinopathy （PDR group） patients to take time full retinal photocoagulation treatment.Before and after treatment,visual acuity and macular edema changes were observed.Results Compared to pre-treatment,visual acuity after treatment in both two groups were significantly improved （0.49 ± 0.08）° vs （0.43 ± 0.09）°;（0.48 ±0.09）°vs （0.44 ±0.07）°],the difference was statistically significant （t =3.728,2.104,all P 〈 0.05）.Between NPDR and PDR group,the vision improvement had no statistically significant difference （P 〉 0.05） ; compared with before treatment,foveal retinal thickness were significantly lower after treatment [（253.41 ± 66.73） μm vs （393.36 ± 92.18） μm; （287.25 ± 61.57） pm vs （388.02 ± 89.83） μm],the difference was statistically significant （t =6.233,3.541,all P 〈 0.05） ; the thickness of the retinal foveal in NPDR group was significantly lower than PDR group,the difference was statistically significant （t =2.445,P 〈 0.05）.Conclusion Laser in the treatment of diabetic retinopathy can significantly improve visual acuity and macular edema,and it is better in non-proliferative diabetic retinopathy,which worthy of further promotion in clinical practice.

关 键 词：糖尿病/并发症 视网膜病变 激光凝固术 视力 黄斑 

分 类 号：R587.2[医药卫生—内分泌] R774.1[医药卫生—内科学]