首页|曲安奈德(PSTA)联合改良格栅光凝治疗视网膜静脉阻塞继发黄斑水肿(RVO-ME)的临床效果分析

曲安奈德(PSTA)联合改良格栅光凝治疗视网膜静脉阻塞继发黄斑水肿(RVO-ME)的临床效果分析

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目的 分析对于视网膜静脉阻塞继发黄斑水肿(RVO-ME)患者应用改良格栅光凝联合曲安奈德(PSTA)治疗的临床效果。方法 本研究选取2021年1月~2022年1月本院门诊收治的RVO-ME患者68例,利用随机双盲法分组,对照组34例使用改良激光格栅光凝治疗,研究组34例患者予以PSTA联合改良格栅光凝治疗,对比两组患者并发症情况、视力水平、水肿改善情况、黄斑中心凹厚度与眼压等。结果 治疗后,研究组视力水平高于对照组,差异有统计学意义(P < 0。05)。两组眼压水平、黄斑中心凹厚度治疗后对比,研究组均低于对照组,差异有统计学意义(P < 0。050)。而研究组水肿减轻率(85。29%)高于对照组(64。71%),差异有统计学意义(P < 0。05)。随访3个月后,研究组CLVQOL评分高于对照组,差异有统计学意义(P < 0。05)。结论 对于RVO-ME患者使用改良格栅光凝治疗联合PSTA,可有效提高患者的视力水平,减轻水肿症状,改善患者生活质量。
Clinical effect of triamcinolone acetonide (pstA) combined with modified grid photocoagulation in the treatment of macular edema secondary to retinal vein occlusion (rvo-me)
Objective To analyze the clinical effect of improved grid photocoagulation combined with triamcinolone (PSTA) in the treatment of patients with macular edema secondary to retinal vein occlusion (RVO-ME). Methods In this study, 68 RVO-ME patients admitted to the outpatient department of our hospital from January 2021 to January 2022 were divided by randomized double-blind method, 34 patients in the control group received improved laser grating photocoagulation therapy, and 34 patients in the study group received PSTA combined with improved grating photocoagulation therapy. Complications, visual acuity level, edema improvement, macular fovea thickness and intraocular pressure were compared between the two groups. Results After treatment, the visual acuity level of the study group was higher than that of the control group, the difference was statistically significant (P<0.05). The intraocular pressure level and macular fovea thickness of the two groups after treatment were lower in the study group than in the control group, the difference was statistically significant (P<0.050). The reduction rate of edema in the study group (85.29%) was higher than that in the control group (64.71%), and the difference was statistically significant (P<0.05). After 3 months of follow-up, CLVQOL score of the study group was higher than that of the control group, and the difference was statistically significant (P<0.05). Conclusion For RVO-ME patients, improved grid photocoagulation combined with PSTA can effectively improve the visual acuity level of patients, reduce the symptoms of edema and improve the quality of life of patients.

improved grid photocoagulationTriamcinolonemacular edema secondary to retinal vein occlusionlevel of vision

马楠、He Jing、王淑珍

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河北省张家口市第一医院眼科,河北 张家口 075000

Ophthalmology Department, The First Hospital of Zhangjiakou, Zhangjiakou 075000, China

改良格栅光凝 曲安奈德 视网膜静脉阻塞继发黄斑水肿 视力水平

2023

科学养生
中国医院管理杂志社

科学养生

影响因子:0.019
ISSN:1672-9714
年,卷(期):2023.26(1)
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