糖尿病视网膜病变的激光疗效观察.pdfVIP

·论著· 糖尿病视网膜病变的激光疗效观察 王雪燕 (华中科技大学附属襄樊中心医院，湖北 襄樊445000) [摘要]【目的】探讨激光治疗糖尿病视网膜痛变的治疗效果。【方法】选择本院2008年1月至2009年12月期 问收治的2型糖尿病并发视网膜病变患者72例(114只眼)，随机分为时照组和实验组，对两组患者治疗效果和血 液流变学指标进行评价。【结果】与对照组相比，实验组显效的比率与总有效率明显高于对照组，而无效比率明显 低j于对照组，差异有显著性(Po．05)。实验组血浆黏度和血小板粘附率较对照组均明显降低。差异有显著性 (Po．05)。【结论】对于糖尿病视网膜病变而言，激光治疗效果要优于药物治疗，控制好血糖和血压，适当改善 糖尿病患者的微循环，减轻视网膜水肿，预防和减少新生血管的产生，减少并发症，对糖尿病视网膜病变的防治也 具有重要的临床意义。 [关键词]糖尿病视网膜病／治疗；激光／治疗应用 ObservationontheE仃bctofLaserTreatmentofDiabetic WANG Retinopathy Xue-yan(Xiangfan Central to Scienceand 441021，Odna) AffiliatedHuazhong TechnologyUniversity，Hubei Hospital the oflasertreatmentofdiabetic efficacy I-Abstract][Objective]Toexplore 72 2 inour admitted to 2010were cases(114 diabetic from 2009 eyes)ofType retinopathyhospital January May were dividedintocontroland effectand in— chosen．Theyrandomly groupexperimentalgroup．The hemorheology dexintwo were excellencerateandtotaleffectiverateof evaluated．[Results]The group groups experimental were control ineffectiverate thanthoseof of was significantlyhigher group，but experimentalgroupsignificantly lowerthanthatofcontrol thedifferencehadstatistical thesametime， group，and significance(P0．05)．At withthecontrol and adhesionin were viscosityplatelet group significantly compared group，plasma experimental reduced。andthedifferenceshadstatistical di