摘要
目的:观察中药康网灵汤剂对波及黄斑部视网膜脱离复位术后黄斑部残留视网膜下液的影响。方法:将2004-11/2006-09脱离波及黄斑部的孔源性视网膜脱离,行视网膜成功复位术后经光学相干断层扫描(optical coherence tomography,OCT)证实黄斑部残留视网膜下液的患者60例60眼,随机分为两组,对照组常规处理,中药组在此基础上加服中药康网灵汤剂,3次/d,30d为1疗程,治疗6个疗程。治疗前后行OCT,多焦视网膜电图(multi-focal electroretinography,mERG)及视力检查。观察指标:治疗前和治疗后1,3,6mo黄斑部OCT,mERG的P1波振幅密度值(nV/deg2)及视力。数据结果均应用SPSS13.0软件进行统计学处理。结果:治疗前两组在年龄、病程、视力、黄斑部残留视网膜下液量及P1波振幅密度值上均无明显差异(P>0.05);治疗后中药组视力提高的眼数、黄斑部视网膜厚度及残留视网膜下液量减少,明显好于对照组;黄斑部mERG1,2环P1波振幅密度值在1,3mo均明显高于对照组,两组间有统计学意义(P<0.05)。3,4,5环在3,6mo与对照组无差异(P>0.05)。结论:中药康网灵汤剂能促进残留视网膜下液吸收,改善视功能。
AIM： To observe the effect of kangwangling on macular residual subretinal fluid （SRF） after successful rhegmatogenous retinal detachment（RRD） surgery. METHODS： Sixty cases （60 eyes） with subretinal fluid （SRF） after successful rhegmatogenou retinal detachment surgery, confirmed by optical coherence tomography （OCT）, were randomly divided into two groups. Control group were treated with conventional method; traditional Chinese medicine group were treated with conventional method and kangwangling oral, 3 times per day. There were 30 days in one course, all together 6 courses. Tested OCT, mERG and visual acuity before and after treatment. The data was analysed by SPSS 13. 0 statistical software. RESULTS. There was no significant difference beween the two groups in age, course, visual acuity,the quantity of residual SRF and the P1 amplitude density （nV/deg^2） （ P〉 0.05） ; after treatment, compared with control group, the cases of improved visual acuity were higher, the quantity residual SRF was lower and the P1 amplitude density （ nV/deg2） in 1,2 rings of macular mERG at 1,2,3 months was higher significantly in traditional Chinese medicine group（ P〈 0.05）. There was no difference beween the two groups in 3,4,5 rings at 3,6 months （P〉0. 05）. CONCLUSION. kangwangling can help to decrease the residual subretinal fluid and to improve the visual function.
出处
《国际眼科杂志》
CAS
2009年第8期1529-1531,共3页
International Eye Science
关键词
康网灵
视网膜脱离复位术后
残留视网膜下液
光学相干断层扫描
多焦视网膜电图
视力
kangwangling
after retinal reattachment surgery
residual subretinal fluid
optical coherence tomography
multifocal electroretinogram
visual acuity
