577nm激光联合羟苯磺酸钙治疗DR的疗效
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Effects of photocoagulation with 577-nm laser combined with calcium dobesilate on diabetic retinopathy
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    摘要:

    目的:观察577nm激光联合羟苯磺酸钙治疗糖尿病视网膜病变(diabetic retinopathy,DR)的临床疗效。

    方法:选取2012-01/06来我院就诊的DR患者104例180眼做为研究对象,采用随机数字表法将其分为三组:药物治疗组(32例56眼)和激光治疗组(50例86眼)及联合治疗组(22例38眼),分别给予药物治疗、577nm激光治疗、药物治疗联合577nm激光治疗,随访6mo后,对比患者在治疗前后视力及眼底的改善程度。

    结果:激光治疗组的视力改善程度明显高于药物治疗组, 眼底毛细血管无灌注区消失及新生血管消退率高于药物治疗组,差异均有统计学意义(P<0.05); 联合治疗组效果好于单因素治疗组,差异均有统计学意义(P<0.05)。

    结论:577nm激光联合联合羟苯磺酸钙治疗DR的疗效确切,值得在临床更多应用。

    Abstract:

    AIM: To investigate the effects of photocoagulation with 577-nm laser combined with calcium dobesilate on diabetic retinopathy(DR).

    METHODS: From January 2012 to June 2012, 104 patients(180 eyes)with diabetic retinopathy were selected and randomly divided into medicine group, 577-nm laser group and combined treatment group. The medicine group consisting of 32 cases(56 eyes)received calcium dobesilate, and 577-nm laser group including 50 cases(86 eyes)were treated by photocoagulation with 577-nm laser. And 22 cases(38 eyes)of combined treatment group were treated with both methods above. The follow-up period was 6mo. The effects were evaluated by visual acuity and fundus fluorescein angiography(FFA).

    RESULTS: Compared with medicine group, the rate of disappeared retinal capillary nonperfusion areas and regressed neovascularization was higher in 577-nm laser group. And the visual acuity of 577-nm laser group was improved significantly more than the medicine group. The difference was statistically significant(P<0.05). The combined treatment group achieved more favorable results than every single treatment group(P<0.05).

    CONCLUSION: Photocoagulation with 577-nm laser combined with calcium dobesilate is effective for diabetic retinopathy and it is worth making more application in clinic.

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琚怀民,李松涛.577nm激光联合羟苯磺酸钙治疗DR的疗效.国际眼科杂志, 2014,14(2):352-353.

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  • 收稿日期:2013-11-07
  • 最后修改日期:2014-01-03
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  • 在线发布日期: 2014-01-20
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