首页|前列地尔联合甲钴胺治疗糖尿病视网膜病变的临床有效性分析

前列地尔联合甲钴胺治疗糖尿病视网膜病变的临床有效性分析

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目的 探讨糖尿病视网膜病变患者采用前列地尔联合甲钴胺治疗后的效果.方法 随机选取2021年1月—2022年12月无锡市第二人民医院收治的80例糖尿病视网膜病变患者为研究对象,采用随机数表法分为对照组、观察组,每组40例.对照组实施甲钴胺治疗,观察组实施前列地尔联合甲钴胺治疗.对比两组的治疗效果、临床相关指标及不良反应发生情况.结果 观察组治疗有效率为92.50%,高于对照组的75.00%,差异有统计学意义(χ2=4.501,P<0.05).治疗后,两组最佳矫正视力均提高,视网膜厚度、眼压值均减少,且观察组最佳矫正视力为(0.38±0.10),高于对照组,视网膜厚度(168.65±64.54)μm低于对照组,差异有统计学意义(P均<0.05).结论 通过前列地尔联合甲钴胺治疗糖尿病视网膜病变,可以提高临床治疗,同时降低视网膜厚度、眼压值,安全性高,值得借鉴.
Clinical Efficacy of Alprostadil Combined with Mecobalamine in the Treat-ment of Diabetic Retinopathy
Objective To investigate the effect of alprostadil combined with mecobalamine in the treatment of diabetic retinopathy.Methods 80 patients with diabetic retinopathy admitted to Wuxi Second People's Hospital from January 2021 to December 2022 were randomly selected as the study objects,according to the random number table method,they were divided into the control group and the observation group,with 40 patients in each group.The control group was treated with metracobalamin,and the observation group was treated with alprostadil and metracobalamin.The treatment effect,clinical related indicators and the occurrence of adverse effects of the two groups were compared.Re-sults The effective rate of the observation group was 92.50%,which was higher than 75.00%in the control group,the difference was statistically significant(χ2=4.501,P<0.05).After treatment,the best corrected visual acuity improved in both groups,the retinal thickness and IOP values decreased,And the best corrected visual acuity in the observation group was(0.38±0.10),which was higher than that of the control group,and the retinal thickness of(168.65±64.54)μm was less than that of the control group,and the differences were statistically significant(both P<0.05).Conclusion The treatment of diabetic retinopathy by proprostadil combined with methocobalamin can improve clinical treatment,reduce retinal thickness and intraocular pressure value,and have high safety,which is worthy of reference.

MecobalamineAlprostadilDiabetic retinopathyTherapeutic effectAdverse reaction

郁佳佳、顾焱

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无锡市第二人民医院(江南大学附属中心医院)眼科,江苏无锡 214002

甲钴胺 前列地尔 糖尿病视网膜病变 治疗效果 不良反应

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(3)
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