缺血性眼病患者血流动力学检测的价值研究

Study on the value of hemodynamics test in patients with ischemic ophthalmopathy

目的分析血流动力学检测对缺血性眼病(IOP)患者治疗的临床指导意义。方法选取2015年1月至2016年1月武汉市艾尔眼科医院汉口医院收治的116例缺血性眼病患者,随机分为对照组和观察组两组,每组58例。对照组治疗过程中采用眼底镜或者裂隙灯检查患者眼部血管情况指导资料方案的调整,观察组采用彩色多普勒超声进行眼部血管血流动力学检测指导治疗方案调整,比较两组患者治疗后视力改善、调整方案次数、治疗前后眼部血流动力学指标。结果治疗后观察组视力改善优于对照组,对照组调整治疗方案次数少于对照组,比较差异有统计学意义(P<0.05);两组患者治疗后视网膜中央动脉、分支动脉收缩期峰值血流速度、舒张末期血流速度及阻力指数均较治疗前有改善,且观察组患者改善效果明显优于对照组,比较差异有统计学意义(P<0.05)。结论缺血性眼病患者血流动力学检测能更真实反应患眼血流改变效果,为临床医师治疗方案的调整提供准确参考信息,提升治疗效果,具有重要的临床价值。

Objective To analyze the clinical significance of hemodynamics test in the treatment of ischemic ophthalmopathy （IOP）. Methods 116 patients with ischemic ophthalmopathy in our hospital from January 2015 to January 2016 were selected and randomly divided into control group and observation group,and each group had 58 cases. All patients in control group were examed the ocular vascular situation by ophthalmoscope or slit lamp for guiding the adjustment of treatment plan. The patients in observa-tion group were given the hemodynamics test of ocular blood vessel by Color Doppler ultrasound for guiding the adjustment of treat-ment plan. The improvement of visual acuity after treament,the time of the adjustment of treatment plan,and ocular hemodynamic index before and after treatment in two groups were compared. Results After treatment, the improvement of visual acuity in the observation group was better than that in the control group,and the time of the adjustment of treatment plan in the control group was less than that in the observation group？and the difference was statistically significant （P 〈0. 05）. After treatment, the central retinal artery,peak systolic velocity of branch artery,end〇2diastolic velocity and resistance index in the two groups were significantly improved,but the improvement effect in the observation group was significantly better than that in the control group （P 〈0. 05）. Conclusion The hemodynamics test in patients with ischemic ophthalmopathy can be more real to reflect the change effects of the cular blood flow of patients, and can provide accurate information for the adjustment of clinical treatment plans, improve the treat-ment effect,and has important clinical value.