摘要
目的 观察运用玻璃体腔内注射曲安奈德（TA）联合蒙药珍宝丸治疗黄斑囊样水肿的疗效.方法 选取32例38只经直接、间接检眼镜、三面镜及荧光素眼底血管造影（FFA）诊断为黄斑囊样水肿的患眼在蒙西医结合治疗前后分别行OCT检查,通过对黄斑中心凹线性扫描,测量黄斑中心凹的厚度,比较治疗前后黄斑中心凹厚度值及最佳矫正视力,同时进行黄斑中心凹厚度与其最佳矫正视力的相关性分析.随访时间为6～12个月.结果 （1）治疗后1、3、6个月黄斑中心凹厚度均有所下降,与治疗前相比较,差异有统计学意义（P＜0.05）.（2）治疗后1、3、6个月最佳矫正视力均有所提高,与治疗前比较差异均有统计学意义（P＜0.05）.（3）黄斑囊样水肿者黄斑中心凹厚度与其最佳矫正视力呈负相关.结论 玻璃体腔内注射TA联合服用蒙药制剂可治疗不同原因导致的黄斑囊样水肿,显著提高视力,缩短病程,减少复发,减轻患者负担,值得临床推广.
Objective Observe the use of intravitreal injection of triamcinolone acetonide （TA） joint Mongolian treasure pill treatment of cystoid macular edema effect. Methods 32 cases 38 Eyes through direct, indi- rect ophthalmoscope , three mirrors and fundus fluorescein angiography（FFA） diagnosis of cystoid macular edema in the affected eye doctors in West Inner Mongolia combine OCT examination were performed before and after treatment, through the fovea linear scan, measuring the thickness of the fovea, foveal thickness and best corrected visual acuity before and after treatment, while the correlation analysis foveal thickness of its best- corrected visual acuity . Follow - up period of 6 to 12 months. Results （1） 3 and 6 months after treatment foveal thickness has declined compared with before treatment, the difference was statistically significant（P 〈 0.05）. （2）3 and 6 months after treatment, best corrected visual acuity improved, compared with before treatment differences were statistically significant（ P 〈 0.05）. （3） cystoid macular edema foveal thickness was their best corrected visual acuity negative correlation. Conclusions Intravitreal injection of TA taking Mongolian joint preparations to treat different causes of cystoid macular edema, visual acuity improved significantly shorten the duration and reduce recurrence, reduce the burden on patients , worthy of promotion.
出处
《内蒙古医学杂志》
2014年第5期539-541,共3页
Inner Mongolia Medical Journal
基金
2013年内蒙古自治区卫生和计划生育委员会医疗卫生科研计划项目(项目编号:201302027)
关键词
蒙西医
黄斑囊样水肿
光学相干断层扫描
mongolian medicine and western medicine
cystoid macular edema
OCT
