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血栓通联合糖皮质激素在视网膜分支膜静脉阻塞激光术后的应用观察(1)
http://www.100md.com 2010年10月1日 薛秋萍 王宇雷
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     【摘要】目的:观察复方血栓通胶囊联合糖皮质激素在视网膜分支静脉阻塞(branch retinal vein occlusion,BRVO)激光术后的应用疗效。方法:选取BRVO患者66例(68眼),行激光光凝术。术后随机分组,第一组32例(32眼)应用复方血栓通胶囊联合糖皮质激素,第二组34例(36眼)仅应用糖皮质激素。于术后4w对患者随访并记录患者的视力、眼压,FFA等情况。结果:激光术后第4w,两组均较术前有明显提高,但第一组视力改善更明显(X2=2.91,P<0.05);FFA比较两组也有明显差异(X2=2.82,P<0.05)。结论:复方血栓通胶囊联合糖皮质激素在BRVO激光术后应用疗效明显,可有效改善视功能。

    【关键词】视网膜分支静脉阻塞;激光光凝;复方血栓通胶囊;糖皮质激素

    Study of xueshuangtong combined with corticosteroids to branch retinal vein occlusion after laser photocoagulation

    Xue QiupingWang Yulei

    【Abstract】 Objective To evaluate the effects of Fufang xueshuangtong jiaonang combined with corticosteroids to branch retinal vein occlusion(BRVO) after laser photocoagulation. Methods 66 cases (68 eyes) of BRVO who had been received retinal laser photocoagulation were divided into two groups randomly. The group one, 32 cases (32 eyes) were given Fufang xueshuangtong jiaonang combined with corticosteroids, but The group two, 34 cases (36 eyes) ,were not given Fufang xueshuangtong jiaonang. The vision, fundus, intraocular pressure of all of them were recorded at the 4 weeks of post operation. ResultsAt the 4 weeks of post operation, The visual acuity of both groups was enhanced, but the visual acuity of the group one was improved significantly more compared to that of the group two (X2=2.91,P<0.05).Also, There was significantly statistical difference between two groups of the therapeutic effect FFA showed (X2=2.82,P<0.05). Conclusion The therapeutic effect was obvious for the applement of Fufang xueshuangtong jiaonang combined with corticosteroids to BRVO after laser photocoagulation, it could effectively improve visual function.

    【Key words】Retina vein occlusion; Laser photocoagulation; Fufang xueshuangtong jiaonang ; Corticosteroids

    【中图分类号】R56+8【文献标识码】B【文章编号】1005-0515(2010)010-0017-02

    视网膜分支静脉阻塞(branch retinal vein occlusion,BRVO)是由多种因素诱发视网膜静脉血栓形成而引起的视网膜血管病变,常伴有广泛视网膜出血、渗出、黄斑水肿等,晚期可产生视网膜新生血管而引起视力的丧失,在中老年人最为常见[1~2]。视网膜激光光凝是阻止或延缓BRVO进展的有效方法,但激光光凝本身也是一种破坏性的治疗方法,会产生一系列副反应[3]。为更好地抑制视网膜激光光凝术后的炎症反应,我们观察了复方血栓通胶囊联合糖皮质激素在BRVO激光术后的应用疗效,报告如下 ......

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