紫外线照射充氧自血回输治疗中心性渗出性脉络膜视网膜病变疗效观.docVIP

紫外线照射充氧自血回输治疗中心性渗出性脉络膜视网膜病变疗效观 　 作者：张庆芬　于凤华　程金涛 【关键词】 紫外线 　　摘要:目的:探讨紫外线照射充氧自血回输（UBIO)治疗中心性渗出性脉络膜视网膜病变的疗效。方法:确诊的中心性渗出性脉络膜视网膜病变患者60例（60只眼）,分为药物治疗组（对照组）和UBIO综合治疗组（治疗组）。药物治疗组采用扩张血管药物、维生素等治疗，综合治疗组在药物治疗的基础上加用UBIO治疗，每日一次，6次为一疗程。结果:治疗组总有效率94.5％，治愈率 75.6％；对照组总有效率 77.8％，治愈率 45.3％,两组总有效率、治愈率比较有显著性差异（Plt;0.01)。结论:UBIO对中心性渗出性脉络膜视网膜病变有明显的治疗作用,结合药物综合治疗疗效优于单纯药物治疗，是一种有效的治疗方法。 　　关键词：紫外线；氧；输血; 中心性渗出性脉络膜视网膜病；治疗 　　The Therapeutic Effectivness of Ultraviolet Blood Irradiation and Oxygenateon for Treatment of Central Exudative Chorioetinopathy 　　Abstract: Objective: To evaluate the clinical effects of ultraviolet blood irradiation and oxygenateon(UBIO) for the treatment of central exudative chorioetinopathy(CEC). Methods: 60 patients (60 eyes ) were randomly divided into two groups . In UBIO group received peripheral vasodilators and UBIO ,method of UBIO treatment was once a day, one course of treatment six times. In control group recieved peripheral vasodilators and vitamins. Result: Ages and course of the disease before the treatment between the two groups were no significantly difference ( pgt;0.05).Effective rate was 94.5% in UBIO group and 77.8% in control group, cure rate was 75.6% in UBIO group and 45.3% in control group, difference was significantly( plt;0.01 ). Conclusions: UBIO has significant effect in treating central exudative chorioetinopathy. UBIO and drugs on peripheral vasodilators is more effective than simple drugs in the treatment of central exudative chorioetinopathy . It is an effective method. 　　Key words: Ultraviolet ray；Oxygen；Blood transfusion；Central exudative chorioetinopathy ； Treatment 　　中心性渗出性脉络膜视网膜病变 (central exudative chorioetinopathy, CEC )是眼科常见的眼底病，是因色素上皮细胞屏障功能的损害，脉络膜毛细血管渗漏积聚在黄斑区神经上皮层下，而造成视神经功能障碍的一类疾病。本文报道32例（32只眼）CEC住院患者采用紫外线照射充氧自血回输疗法（UBIO）联合药物综合治疗的临床研究，并与同期采用常规药物治疗的28例（28只眼）患者作对照分析，就UBIO治疗CEC的作用机制作了探讨，现报道如下。 　　1　材料与方法 　　1.1 病例选择：CEC60例（60只眼）住院患者，均无高度近视及其它眼疾，无手术、外伤及眼底激光史，无全身性疾病。主要症状表现为视力下降、视物变形、发暗；经眼底检查及同步的眼底荧光血管造影检查确诊为 CEC。随机将60例 CEC患者分为两组，常规药物治疗组2