穴位注射血栓通联合视网膜激光光凝术治疗DR的疗效

目的:探讨血栓通穴位注射联合视网膜激光光凝术治疗糖尿病视网膜病变(diabetic retinopathy,DR)的疗效。方法:随机选取119例严重的非增殖期DR合并黄斑水肿的患者和增殖期DR患者,随机分为A,B两组,其中A组101眼,B组95眼,A组为治疗组,予以穴位注射血栓通联合视网膜激光光凝术,每日行1次穴位注射,两组穴位交替进行,以10d为1个疗程,中间间隔5d,共治疗3个疗程;B组为对照组,予以单纯视网膜激光光凝术。结果:A组有效率为87%,B组为63%,且A组各期DR的疗效均优于对照组,差异具有统计学意义。结论:穴位注射血栓通联合视网膜激光光凝术治疗DR效果明显优于单纯视网膜激光光凝术,是一种治疗DR行之有效方法。

Clinical observation of treating diabetic retinopathy with xueshuantong acupuncture point injection combing retinal laser photocoagulation

AIM: To discuss therapy of curing diabetic retinopathy(DR)with acupuncture point injection of xueshuantong combing retinal laser photocoagulation.

METHODS: Totally 119 patients who suffered serious non-proliferation period DR combing macular oedema or proliferative DR were selected at random, and they were divided into group A and B, group A with 101 eyes, group B with 95 eyes, group A was experimental group, treated with acupuncture point injection of xueshuantong combing retinal laser photocoagulation, point injection was given once a day, two points alternately received this injection, ten days as one course of treatment with five days' interval in the middle of one course of treatment, totally for three courses of treatment. Group B was control group, received pure retinal laser photocoagulation.

RESULTS:Effective rate of group A was 87%, group B 63%. The curative effect of group A's all stage DR were all better than group B. These differences had statistical significance.

CONCLUSION: The effect of curing DR with xueshuantong acupuncture point injection and retinal laser photocoagulation is better than simple retinal laser photocoagulation. It is an effective way for curing DR.