全视网膜光凝联合复方樟柳碱治疗糖尿病视网膜病变

Clinical observation on panretinal photocoagulation with compound anisodine in the treatment of diabetic retinopathy

目的:观察全视网膜光凝术后联合复方樟柳碱颞浅动脉旁注射与单纯行全视网膜光凝术,两者在改善糖尿病视网膜病变患者视力及视网膜病变上是否存在着差异。方法:回顾分析在我院确诊的糖尿病视网膜病变患者,根据治疗方法分为两组。A组全视网膜光凝术后行复方樟柳碱颞浅动脉旁注射66例109眼。B组仅行全视网膜光凝术54例71眼。结果:A组治疗3mo后视力提高率为66.1%,B组视力提高率为46.5%,两组统计学差异显著(χ2=6.78,P<0.01)。A组治疗6mo后视力提高率为68.8%,B组视力提高率为49.3%,两组统计学差异显著(χ2=6.89,P<0.01)。A组治疗6mo后糖尿病视网膜病变改善率为61.5%,B组糖尿病视网膜病变改善率39.4%,两组统计学差异显著(χ2=8.37,P<0.01)。结论:糖尿病视网膜病变患者全视网膜光凝术后联合复方樟柳碱颞浅动脉旁注射较单纯行视网膜光凝术,能更好的恢复视力并改善糖尿病视网膜病变。

AIM： To observe thediabetic retinopathy panretinal photocoagulation with compound anisodine para temporal superficial artery injection and simple retinal photocoagulation, and whether there are differences in the improvement of patients＆#39;diabetic retinopathy vision and retinopathy. METHODS： A retrospective analysis of patients with diabetic retinopathy diagnosed in our hospital, divided into two groups according to the treatment method. Group A of panretinal photocoagulation after compound anisodine para temporal superficial artery injection of 66 cases of 109 eyes.Group B was treated with panretinal photocoagulation in 54 cases of 71 eyes. RESULTS：Group A after treatment for 3mo, the visual acuity improved rate was 66.1%, the visual acuity improved in group B was 46.5%, statistically different in two groups （χ2=6.78, P〈0.01）.Group A after treatment for 6mo, the visual acuity improved rate was 68.8%, the visual acuity improved in group B was 49.3%, statistically different in two groups （χ2=6.89, P〈0.01）.The group A after 6mo of treatment for diabetic retinopathy improvement rate was 61.5%, group B of diabetic retinopathy improvement rate 39.4%, two groups had statistically significant difference （χ2=8.37, P〈0.01）. CONCLUSION：The patients with diabetic retinopathy panretinal photocoagulation combined with compound anisodine para temporal superficial artery injection and simple retinal photocoagulation can better restore vision and improve diabetic retinopat.