CAJ | 학술논문

目的：观察血栓通联合复方樟柳碱治疗视网膜静脉阻塞的临床疗效。方法选择88例（106眼）视网膜静脉阻塞患者为研究对象，按照随机数字表法分为两组，对照组44例（50眼）给予丹参注射液治疗，研究组44例（56眼）给予血栓通联合复方樟柳碱治疗。观察对比两组患者的临床疗效及血液流变学指标（WBV、PV、HCT、Fg）的变化。结果研究组的治疗总有效率为94.64%（53/56），明显高于对照组的78.00%（39/50）（P＜0.05）。两组患者均未发生严重不良反应。经治疗两组患者的血液流变指标水平均得到明显的降低（P＜0.05），且研究组的各指标水平改善情况明显优于对照组（P＜0.05）。结论血栓通联合复方樟柳碱治疗视网膜静脉阻塞临床疗效确切，能够明显提高患者的视力，改善患者的血液流变学指标，提高生活质量，值得临床推广。
목적：관찰혈전통연합복방장류감치료시망막정맥조새적림상료효。방법선택88례（106안）시망막정맥조새환자위연구대상，안조수궤수자표법분위량조，대조조44례（50안）급여단삼주사액치료，연구조44례（56안）급여혈전통연합복방장류감치료。관찰대비량조환자적림상료효급혈액류변학지표（WBV、PV、HCT、Fg）적변화。결과연구조적치료총유효솔위94.64%（53/56），명현고우대조조적78.00%（39/50）（P＜0.05）。량조환자균미발생엄중불량반응。경치료량조환자적혈액류변지표수평균득도명현적강저（P＜0.05），차연구조적각지표수평개선정황명현우우대조조（P＜0.05）。결론혈전통연합복방장류감치료시망막정맥조새림상료효학절，능구명현제고환자적시력，개선환자적혈액류변학지표，제고생활질량，치득림상추엄。
Objective To observe the clinical effect of Xueshuantong combined with compound anisodine in the treatment of retinal vein occlusion.Methods 88 cases(106 eyes) with retinal vein occlusion were treated as the research object,according to the random number table method were divided into two groups,the control group of 44 cases(50 eyes)treated by Salvia miltiorrhiza injectiontherapy,study group of 44 cases(56 eyes)treated by Xueshuantong combined with compound anisodine.The clinical effect and hemorheological indexes(WBV,PV,HCT,Fg)changes of the two groups were observed and compared.ResultsThe total effective rate of study group was 94.64%,significantly higher than 78.00% in control group(P<0.05).Patients in the two groups were no serious adverse reactions.The blood rheological indexes of two groups were significantly lower(P<0.05),and each index level in study group improved significantly than those in the control group(P<0.05).ConclusionXueshuantong combined with compound anisodine in the treatment of retinal vein obstruction has exact effect,can significantly improve the visual acuity of patients,improve the hemorheological indexes,and improve the quality of life,worthy of clinical application.