中药联合曲安奈德球旁注射治疗黄斑囊样水肿疗效观察

Clinical observation of Triamcinolone Acetonide combined Chinese medicine in treating cystoid macular edema

目的观察中药联合曲安奈德球旁注射治疗黄斑囊样水肿的效果。方法视网膜静脉阻塞及糖尿病视网膜病变引起的黄斑囊样水肿患者54例61只眼,随机分为2组,对照组予曲安奈德球旁注射,治疗组给予曲安奈德球旁注射联合中药治疗。结果治疗后2周,治疗组与对照组疗效比较差异无统计学意义(P>0.05),3个月及6个月时,治疗组疗效优于对照组,差异有统计学意义(P<0.05)。6个月时治疗组的有效率为83.9%,对照组为30.0%。结论应用中药联合曲安奈德球旁注射治疗黄斑囊样水肿较单纯球旁注射曲安奈德效果好,且长期疗效明显,复发率低。

OBJECTIVE To analyze the therapeutic effect of using triamcinolone acetonide together with Chinese medicine on the treatment of cystoid macular edema. METHODS Fifty-four patients （61 eyes）with cystoid macular edema caused by retinal vein occlusion and diabetic retinopathy were randomly divided into two groups. Pa- tients in the treatment group were treated by triamcinolone acetonide together with Chinese medicine, while the con- trol group used only triamcinolone acetonide. RESULTS After two weeks treatment, there was no significant differ- ence between the two groups. With a period of three to six months, significant differences appeared and the therapeu- tic effect in the treatment group was obviously better then the control group. After six-month-treatment, the effective rate of the treatment group was 83.9% ,while the control group was only 30.0%.CONCLUSIONS Using triamci- nolone acetonide together with Chinese medicine in the treatment of cystoid macular edema was more effective than using only triamcinolone acetonide, and had a long-term better efficacy and low recurrence rate.