激光光凝治疗眼底病的效果  

Effective of laser photocoagulation in the treatment of ocular fundus disease

作　　者：张燕[1] ZHANG Yan(Department of Ophtalmology,People′s Hospital of Hechuan District,Chongqing401520,China)

机构地区：[1]重庆市合川区人民医院眼科,重庆401520

出　　处：《中国当代医药》2022年第12期103-105,共3页China Modern Medicine

摘　　要：目的探讨激光光凝治疗眼底病的效果。方法选取2019年1月至2020年8月重庆市合川区人民医院眼科收治的88例眼底病患者作为研究对象,采用随机数字表法分为试验组和对照组,每组各44例。对照组患者采用常规治疗方案,试验组患者采用激光光凝治疗方案。比较两组患者的治疗总有效率、并发症总发生率、黄斑区视网膜厚度、中心凹容积以及复发率。结果试验组治疗总有效率高于对照组,差异有统计学意义(P<0.05)。试验组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。术前,两组患者黄斑区视网膜厚度、中心凹容积比较,差异无统计学意义(P>0.05);术后,两组患者的黄斑区视网膜厚度、中心凹容积均高于术前,且试验组的黄斑区视网膜厚度、中心凹容积高于对照组,差异有统计学意义(P<0.05)。试验组治疗后1年复发率低于对照组,差异有统计学意义(P<0.05)。结论激光光凝治疗眼底病总有效率显著提高,并发症总发生率及复发率显著下降,还能够改善黄斑区视网膜厚度、中心凹容积指标,适合在临床进行实施和开展。Objective To investigate the effect of laser photocoagulation in the treatment of fundus diseases.Methods A total of 88 patients with ocular fundus disease treated in People′s Hospital of Hechuan District from January 2019 to August 2020 were selected as the research subjects.They were divided into experimental group and control group by random number table method,with 44 cases in each group.Control group received conventional treatment,experimental group received laser photocoagulation treatment.The total effective rate,total incidence of complications,macular retinal thickness,fovea volume and recurrence rate were compared between the two groups.Results The total effective rate of experimental group was higher than that of control group,the difference was statistically significant(P<0.05).The total incidence of complications in experimental group was lower than that in control group,and the difference was statistically significant(P<0.05).Before surgery,there were no significant differences in retinal thickness and fovea volume in macular area between the two groups(P>0.05).After surgery,the macular retinal thickness and fovea volume in both groups were higher than those before surgery,and the macular retinal thickness and fovea volume in the experimental group were higher than those in the control group,with statistical significances(P<0.05).The recurrence rate of experimental group was lower than that of control group,the difference was statistically significant(P<0.05).Conclusion The total effective rate of laser photocoagulation in the treatment of fundus diseases is significantly improved,the incidence of complications and recurrence rate are significantly reduced,and the indexes of macular retinal thickness and foveal volume can be improved.It is suitable for clinical implementation and development.

关 键 词：激光光凝 眼底病 总有效率 黄斑区视网膜厚度 中心凹容积 

分 类 号：R779.63[医药卫生—眼科]