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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。
Objective: To observe the clinical efficacy of argon laser photocoagulation combined with traditional Chinese medicine in the treatment of stage Ⅲ, Ⅳ and Ⅴ diabetic retinopathy. Methods: 46 cases of diabetic retinopathy were randomly divided into two groups, both were treated with panretinal photocoagulation, the treatment of energy at any time to adjust, with the minimum energy output reached Ⅱ level spot appropriate; the treatment group in retinal photocoagulation treatment At the same time combined oral Chinese medicine treatment. The patients were followed up for 6 to 12 months. The changes of visual acuity, fundus and fluorescein angiography were compared between the two groups after retinal photocoagulation. Results: The visual acuity was improved in both groups after treatment. The number of retinal capillary hemangiomas, retinal hemorrhage and exudative area in both groups were significantly decreased after treatment, while the improvement in treatment group was better than that in control group. The retinal angiography in treatment group was better than before treatment Obvious improvement, the improvement is better than the control group. Conclusion: Argon laser treatment of diabetic retinopathy is an effective treatment, combined with Qi and Yin, activating blood and removing blood stasis traditional Chinese medicine can clear the eye network, improve retinal microcirculation, enhance metabolism, promote bleeding, exudative absorption, to make up for light The lack of coagulation therapy, so that the treatment efficiency.