郭冬香

[摘要] 目的 探析对糖尿病视网膜病变患者实施复方血栓通胶囊辅助激光治疗的临床效果。方法 从2018年1月—2019年12月择取200例糖尿病视网膜病变患者，将其随机分组研究，对照组（100例）患者实施激光治疗，研究组（100例）患者实施复方血栓通胶囊辅助激光治疗，对照分析两组临床效果。 结果 从参数来看，治疗前两组视力水平、微血管瘤数目、黄斑中心凹厚度、渗漏面积对比差异无统计学意义（P>0.05），治疗后研究组视力水平高于对照组，微血管瘤数目少于对照组，黄斑中心凹厚度、渗漏面积小于对照组，差异有统计学意义（P<0.05）;从糖尿病指标来看，治疗前两组空腹血糖、糖化血红蛋白对比差异无统计学意义（P>0.05），治疗后研究组空腹血糖、糖化血红蛋白水平均低于对照组，差异有统计学意义（P<0.05）;从并发症发生情况来看，两组对比差异无统计学意义（P>0.05）。结论 对糖尿病视网膜病变患者实施复方血栓通胶囊辅助激光治疗的临床效果确切，具有显著临床价值。

[关键词] 复方血栓通胶囊;激光;糖尿病视网膜病变

[中图分类号] R77          [文献标识码] A          [文章编号] 1672-4062（2020）08（b）-0191-03

[Abstract] Objective To explore the clinical effect of compound Xueshuantong capsule assisted laser treatment on patients with diabetic retinopathy. Methods From January 2018 to December 2019， 200 patients with diabetic retinopathy were selected and randomly divided into studies. The patients in the control group （100 cases） were treated with laser， and the patients in the study group （100 cases） were given compound Xueshuantong capsules. Adjuvant laser treatment， comparative analysis of the clinical effects of the two groups. Results From the perspective of parameters， there was no statistically significant difference in visual acuity level， number of microhemangiomas， macular fovea thickness， and leakage area before treatment between the two groups（P>0.05）， macular fovea thickness and leakage area were less than the control group，and the difference was statistically significant（P<0.05） ; judging from diabetes indicators， there was no statistically significant difference in fasting blood glucose and glycated hemoglobin between the two groups before treatment（P>0.05）， and fasting blood glucose and glycated hemoglobin levels in the study group after treatment In the control group，and the difference was statistically significant（P<0.05）; from the perspective of complications， there was no statistical difference between the two groups（P>0.05）. Conclusion The clinical effect of compound Xueshuantong capsule assisted laser treatment on patients with diabetic retinopathy is definite and has significant clinical value.

[Key words] Compound Xueshuantong capsules; Laser; Diabetic retinopathy

糖尿病視网膜病变作为糖尿病的并发症，其发病率也随之增加，轻者将会导致视力水平下降，重者则会导致眼盲，因此需要予以重视，通过积极治疗措施改善患者预后[1]。在糖尿病视网膜病变治疗中，激光手术属于常用方式，虽然可以取得显著效果，但存在一定破坏性，会影响术区周围正常组织，使治疗效果受到影响[2]。复方血栓通胶囊不仅可以活血化瘀，而且还具备疏通血管作用，其在心脑血管疾病治疗中的应用有良好效果，这也为激光治疗的糖尿病视网膜病变患者提供了新的治疗途径[3]。该文……