中西医药物联合激光光凝治疗糖尿病性视网膜病变的效果

潘雪梅等

[摘要] 目的 回顾性分析中西药物联合激光光凝治疗糖尿病性视网膜病变的临床效果。 方法 收集山东中医药大学附属眼科医院2013年1月～2014年1月收治的糖尿病性视网膜病变患者107例，其中男52例，女55例，共168眼，应用中西医药物联合激光光凝治疗后，并对患者出院时疗效进行分析。 结果 半年复诊时，在168眼中，视力提高两行及以上的有51只眼，提高1行或无提高的有100只眼，视力下降的有17只眼，总有效率为89.88%。结论 中西医药物联合激光光凝治疗糖尿病性视网膜病变是有效的。

[关键词] 中西医药物；激光光凝；糖尿病性视网膜病变；效果

[中图分类号] R774 [文献标识码] A [文章编号] 1673-7210（2015）05（c）-0140-03

[Abstract] Objective To analyze clinical effect of Western and traditional Chinese medicine combined with laser photocoagulation for diabetic retinopathy retrospectively. Methods A total of 107 patients with diabetic retinopathy admitted to Affiliated Eye Hospital of Shandong University of Traditional Chinese Medicine from January 2013 to January 2014 were collected， among whom， there were 52 cases of men， 55 cases of women， total 168 eyes. After treatment of Western and traditional Chinese medicine combined with laser photocoagulation for diabetic retinopathy， the effects were analyzed when the patients were discharged. Results At subsequent visit of half years， in 168 eyes， the visual acuity which improved two lines had 51 eyes， and those improved one line or unimproved had 100 eyes， those with visual acuity declined had 17 eyes. The total effective rate was 89.88%. Conclusion Western and traditional Chinese medicine combined with laser photocoagulation for diabetic retinopathy is effective.

[Key words] Western and traditional Chinese medicine； Laser photocoagulation； Diabetic retinopathy； Curative effect

糖尿病（diabetes mellitus）是内分泌代谢性疾病。糖尿病和糖尿病肾病的发病率在过去的几十年呈现了快速的增长，对中国的医疗系统造成了重大的经济负担[1]。2010年我国成人糖尿病患病率已经达到9.7%，糖尿病患者总数已经超过9000万例[2]。糖尿病性视网膜病变是糖尿病的严重并发症之一。糖尿病性视网膜病变的病理特征为眼底视网膜改变，如不及时治疗最终将导致失明。糖尿病性视网膜病变的眼底病变病理特征主要表现为：血管的通透性亢进；血管闭塞；有新生血管生成[3]。因此，糖尿病性视网膜病变的治疗要减轻血管的通透性，抑制新血管的形成。在祖国医学中，糖尿病性视网膜病变属于消渴症的范畴，古人亦早有论述，《秘传证治要诀及类方》中说，“三消九之，精血既亏，或目无所见”，指出精血亏损、情志失调和瘀血阻络是糖尿病致盲的主要病机。……