CAJ | 학술논문

目的:探讨口服滋阴凉血散瘀汤联合激光治疗糖尿病性视网膜病变的临床疗效.方法:采用口服滋阴凉血散瘀汤联合视网膜光凝治疗糖尿病性视网膜病变患者,以单纯视网膜光凝为对照组,对比两组患者在治疗后1,6,12mo的视力、视野及新生血管的变化情况.结果:口服滋阴凉血散瘀汤联合光凝治疗组患者12mo时视力提高(62.3% vs 43.1%, P=0.037),视野改变(17.0±3.7 vs 14.9±3.7, P=0.002)及新生血管退缩情况(67.2% vs 48.3%, P=0.036)均优于对照组患者.结论:滋阴凉血散瘀汤联合激光治疗糖尿病性视网膜病变较单纯激光治疗更有效.
목적:탐토구복자음량혈산어탕연합격광치료당뇨병성시망막병변적림상료효.방법:채용구복자음량혈산어탕연합시망막광응치료당뇨병성시망막병변환자,이단순시망막광응위대조조,대비량조환자재치료후1,6,12mo적시력、시야급신생혈관적변화정황.결과:구복자음량혈산어탕연합광응치료조환자12mo시시력제고(62.3% vs 43.1%, P=0.037),시야개변(17.0±3.7 vs 14.9±3.7, P=0.002)급신생혈관퇴축정황(67.2% vs 48.3%, P=0.036)균우우대조조환자.결론:자음량혈산어탕연합격광치료당뇨병성시망막병변교단순격광치료경유효.
AIM:To explore the potentially beneficial clinical effects of traditional Chinese medicine(TCM) combined with photocoagulation for diabetic retinopathy(DR).METHODS:Chinese patients with DR were divided into two groups. A joint treatment group received both the TCM ziyinliangxuesanyutang and photocoagulation, while a control group received only photocoagulation laser treatment. Visual acuity tests, visual field retinal sensitivity tests, and fundus fluorescein angiography (to measure neovascular regression) were performed. Vision was compared between the two groups 1 month, 6, and 12 months after treatment.RESULTS:Twelve months after treatment, the recovery of visual acuity (62.3% vs 43.1%, P=0.037) and retinal sensitivity \[17.0±3.7 decibels (dB) vs 14.9±3.7dB, P=0.002\] as well as neovascular regression (67.2% vs 48.3%, P=0.036) in the joint treatment group were all significantly greater than that of the control group.CONCLUSION:Compared with laser treatment alone, the joint application of TCM and photocoagulation is shown to be more effective than DR treatment method.