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观察激光视网膜光凝术联合中药内服治疗视网膜静脉阻塞(RVO)的临床疗效。方法:将101例(101眼)RVO患者分为两组,对照组行视网膜激光光凝术,治疗组予激光联合中药汤剂内服,比较治疗前后两组视力、眼底、FFA、血流变相关指标的变化,评价其疗效。结果:治疗后两组视力改善,视网膜出血、水肿、渗出吸收时间缩短,视网膜新生血管减少、视网膜循环时间加快、血流变相关指标改善。其中,治疗组总有效率为88.89%,对照组总有效率为72.34%,两组比较具有显著性差异(P<0.05)。结论:与单纯激光治疗相比较,激光联合中药治疗RVO对改善患者视功能、促进眼部病变体征消退,减少或预防并发症以及改善血液流变学相关指标等方面都有显著优势。
To observe the clinical efficacy of laser retinal photocoagulation combined with oral administration of Chinese herbs in the treatment of retinal vein occlusion (RVO). Methods: One hundred and eleven patients (101 eyes) with RVO were divided into two groups. The control group received retinal laser photocoagulation. The treatment group received laser combined with Chinese medicine decoction. Before and after treatment, the visual acuity, fundus, FFA and blood rheology were compared Indicators of change, evaluate its efficacy. Results: After treatment, the visual acuity improved, retinal hemorrhage, edema, exudation and absorption time shortened, retinal neovascularization, retinal circulation faster, blood flow related indicators improved. Among them, the total effective rate was 88.89% in the treatment group and 72.34% in the control group, with significant difference between the two groups (P <0.05). Conclusion: Compared with simple laser treatment, laser combined with traditional Chinese medicine treatment of RVO has significant advantages in improving visual function, promoting regression of ocular lesions, reducing or preventing complications and improving indexes related to hemorheology.