中药联合玻璃体切割切术治疗PDR的临床疗效观察  

The observation of efficacy of traditional Chinese medicine combined with vitrectomy in the treatment of proliferative diabetic retinopathy （PDR）

作　　者：马威奇[1] 李振华[1] 蒋文丽[1] 

机构地区：[1]湖南省郴州市第一人民医院,湖南郴州423000

出　　处：《中医眼耳鼻喉杂志》2016年第2期96-100,共5页Journal of Chinese Ophthalmology and Otorhinolaryngology

摘　　要：目的：为了观察中药对行玻璃体切割术后的增殖性糖尿病视网膜病变（PDR ）患者的疗效。方法选择2014年06月～2015年10月在我院接受玻璃体切割术的增殖期 PDR患者58例，共61只眼，随机分为治疗组与对照组，治疗组于术后2周始予中药汤剂口服，对照组口服羟苯磺酸钙片，治疗3、6个月后复诊，行视力、闪光视网膜电流图（F‐ERG ）、眼部彩超检查。结果治疗后3个月、6个月后复诊时，治疗组最佳矫正视力优于对照组；治疗组F‐ERG 的a波、b波、OPS 波潜伏期均短于对照组、振幅均高于对照组；治疗组视网膜中央动脉（CRV ）收缩期峰值血流速度（PSV ）、舒张末期血流速度（EDV ）高于对照组；治疗组CRA阻力指数（RI）低于对照组。上述差异均具有统计学意义。结论中药对行玻璃体切割术后的PDR患者的视功能及眼底血流速度有改善作用。Objective To observe the effect of traditional Chinese medicine with vitrectomy surgery on （PDR）patients .Methods June 2013‐October 2014 ,58 cases ,（61 eyes） of PDR were randomly divided into treatment group and control group ,the treatment group took traditional Chinese medicine two weeks after surgery ,the control group was treated with dobesilate calcium .vision ,F‐ERG ,ocular ultrasonography were recorded 3 and 6 months after streatment .Results After 3 months ,6 months ,the corrected visual acuity were in treatment group of were better than that in control group ;F‐ERG a wave、bwave、OPs latency were shorter than control group .Conclusion Traditional Chinese medicine with vitrectomy surgery for proliferative diabetic retinopathy can improve retinal visual function and the fundus blood flow velocity .

关 键 词：中药 增殖性糖尿病视网膜病变 闪光视网膜电流图(F-ERG) 视功能 眼底血流速度 

分 类 号：R774[医药卫生—眼科]