视网膜全光凝与次全光凝在糖尿病性视网膜病变中的治疗效果分析

Analysis the treatment effects of pan retinal photocoagulation and para-photocoagulation on patients with diabetic retinopathy

目的探析视网膜全光凝和次全光凝对于糖尿病性视网膜病变的治疗效果。方法自2012年8月—2013年8月来杭州市红十字会医院进行治疗的糖尿病性视网膜病变患者中随机抽取130例(视网膜病变眼250只),按照随机分配与自愿的原则平均分成A组和B组,其中65例A组患者采用视网膜全光凝进行治疗,65例B组患者采用视网膜次全光凝进行治疗。根据治疗疗效与视力变化评定标准分析并比较A、B两组患者治疗后的临床疗效及视力恢复情况。结果采用视网膜全光凝术治疗的A组患者治疗后总体有效率为80.00%(104/130),采用视网膜次全光凝术治疗的B组患者总体有效率为77.50%(93/120),2组患者的总体有效率基本一致(χ2=0.296,P=0.286);在视力变化方面,A组患者治疗后视力提高的比例为11.55%(15/130),与B组的11.67%(14/120)也基本一致,且2组视力稳定与视力下降的比例也基本一致(χ2=0.017,P=0.991),差异不具有统计学意义。结论在糖尿病性视网膜病变治疗方面,视网膜全光凝与视网膜次全光凝都表现出了一定的积极作用,且两种方法的治疗疗效相当。

Objective To explore the treatment effects of pan-photocoagulation and para-photocoagulation on patients with diabetic retinopathy. Methods During the time of August 2012 to August 2013,130 diabetic retinopathy patients with 250 retinopathy eyes were selected and divided into group A and group B under the principles of random assignment and voluntary. The 65 diabetic retinopathy patients in group A were treated by pan-photocoagulation while the other 65 diabetic retinopathy patients in group B were treated by times para-photocoagulation. To observe the treatment effects and the chan- ges in vision of the patients in group A and group B based on the treatment efficacy evaluation criteria and vision changes criteria. Results The treatment efficiency of group A who were treated by pan-photocoagulation was 80.00% （ 104/ 130） ,which was 77.50% （93/120） in group B who were treated by times pan-photocoagulation （X2 = 0. 296, P = 0. 286）. The treatment efficiency of the two groups were consistent and in the aspect of vision changes, the visual acuity improved ratio of group A was 11.55% （ 15/130）, which was 11.67% （14/120） in group B （ X2 = 0.017, P = 0. 991 ） and stability and decreased vision acuity proportion were consistent too and their comparison were not statistically significance while P 〉 0.05. Conclusion Pan-photocoagulation and para-photocoagulation all have good effects on the patients with diabetic retinopathy and therapeutic. Efficacy of the two methods is quite.