视网膜内界膜剥除术联合中药治疗特发性黄斑前膜伴黄斑水肿患者的临床研究和护理

Clinical research and nursing of TCM combined with internal limiting membrane peeling surgery in treating IMEM untied macular edema

目的:观察视网膜内界膜剥除术联合中药治疗特发性黄斑前膜伴黄斑水肿的疗效及其临床特点。方法:观察和护理28例(30只眼)特发性黄斑前膜伴黄斑水肿患者,其中14例(15只眼)作为观察组,14例(15只眼)作为对照组,观察两组疗效。结果:两组比较,术后4周、术后8周时视力均较术前明显提高,差异有显著性意义(P<0.01);观察组术后4周时黄斑中心凹厚度较术前明显减少,差异有显著性意义(P<0.01),对照组与术前比较有减少趋势,但无统计学意义(P>0.05);两组之间比较,观察组低于对照组,差异有显著性意义(P<0.05);术后8周时,两组患者黄斑中心凹厚度较术前均明显减少,差异有显著性意义(P<0.01),两组间比较无统计学意义(P>0.05)。结论:视网膜内界膜剥除联合中药治疗优于单纯视网膜内界膜剥除治疗。

Objective： To observe efficacy and clinical features of TCM combined with internal limiting membrane peeling surgery for treating IMEM untied macular edema. Methods： 28 cases （30 eyes） of IMEM untied macular edema were randomly divided into observed group of 14 cases （15 eyes） and control group of 14 patients （15 eyes）, comParing efficacy of the two groups. Results： there was significant difference for visual acuity in two groups compared with pre-surgery after 4 weeks , 8 weeks surgery. Foveal thickness of observation group was obviously decreased （P〈0.01） than pre-surgery after 4 weeks surgery. But not did in the control group. There was significant difference （P〈0.05）in the two groups. 8 weeks after surgery, the two groups with macular thickness was decreased significantly （P〈0.01） compared with pre-surgery, but there was no significant difference in the two groups （P〉0.05）. Conclusion： TCM combined with internal limiting membrane peeling surgery treatment was better than purely internal limiting membrane peeling treatment.