氩激光联合中药治疗糖尿病视网膜病变

目的:观察氩激光光凝联合中药治疗Ⅲ,Ⅳ,Ⅴ期糖尿病视网膜病变的临床疗效.方法:将46例糖尿病视网膜病变患者,随机分为两组,两组均予全视网膜光凝治疗,治疗中随时调整能量,以最小能量输出达到Ⅱ级光斑为宜;治疗组在视网膜光凝治疗的同时联合口服中药治疗.术后随访6 ～12个月,比较两组视网膜光凝后患者的视力、眼底及荧光血管造影变化.结果:两组患者治疗后视力均改善;两组治疗后视网膜微血管瘤数目、视网膜出血及渗出面积较治疗前明显减小,而治疗组改善优于对照组;治疗组视网膜血管造影较治疗前明显改善,其改善程度优于对照组.结论:氩激光治疗糖尿病视网膜病变是一种有效的治疗办法,联合益气养阴、活血化瘀中药可畅通眼络,改善视网膜微循环,增强代谢,促进出血、渗出的吸收,以弥补光凝治疗的不足,使治疗有效率提高.

Argon Laser and Traditional Chinese Medicine for Treatment of Diabetic Retionopathy

Objective:To explore the clinical effect of traditional Chinese medicine and argon laser in the treatment of diabetic retionopathy(DR) Ⅲ,Ⅳ,Ⅴ stage.Method:Forty-six patients with DR Ⅲ,Ⅳ,Ⅴstage were divided into 2 groups,both 2 groups suffered from photocoagulation treatment,in process of treatment,the dosage was adjusted at any time with the minimum output power reaching Ⅱ grade of spot was advisable.The treatment group received combined treatment of traditional Chinese medicine and argon laser,for follow up period of 6-12 months,to observe the change of two group after treatment,vision,eyeground and fundus fluorescence angiography after treatment.Result: For two groups patients vision was improved,retinal microaneurysm,hemorrhage and exudation area were markedly reduced,but treatment group was better than control group,fundus fluorescence angiography in treatment group was obviously improved than befor therapy,and better than control group.Conclusion:Traditional Chinese medicine and argon laser seems to be more effective in treatment of DR Ⅲ,Ⅳ,Ⅴstage by improving retinal microcirculation,increasing metabolize,and promoting the absorb of hemorrhage and effusion as supplement of argon laser.