江西医药
江西醫藥
강서의약
JIANGXI MEDICAL JOURNAL
2015年
5期
377-379
,共3页
视网膜黄斑区硬性渗出%非增生性糖尿病视网膜病变%视功能
視網膜黃斑區硬性滲齣%非增生性糖尿病視網膜病變%視功能
시망막황반구경성삼출%비증생성당뇨병시망막병변%시공능
Exudates%Nonproliferative retinopathy%Visual function
目的：观察非增殖期糖尿病视网膜病变黄斑区硬性渗出对视功能的影响。方法回顾性分析自2010年3月-2011年5月确诊为非增殖期糖尿病视网膜病变者共37例71眼，根据黄斑区6mm硬性渗出累及象限范围分为5组、按渗出的程度分为4级，并分析其与视力、视野的关系。结果黄斑区硬性渗出范围：A组(0象限)、B组(1个象限)、C组(2象限)、D组(3个象限)、E组(4个象限)视力分别是0.83±0.22、0.31±0.24、0.20±0.24、0.17±0.12、0.12±0.13，方差分析差异有统计学意义（F=17.62，P=0.00）；视野平均缺损分别为-1.73±1.71、-7.39±4.21、-8.82±6.10、-10.03±3.47、-10.99±2.52，方差分析差异有统计学意义（F=5.79，P=0.00）。黄斑区硬性渗出程度1级、2级、3级、4级组视力分别为0.80±0.23、0.33±0.25、0.15±0.14、0.06±0.03，方差分析差异有统计学意义（F=32.19，P=0.00）；视野平均缺损分别为-2.14±2.01、-7.82±3.68、-9.90±2.57、-10.49±8.08，方差分析差异有统计学意义（F=7.57，P=0.00）。结论黄斑区硬性渗出的程度和范围明显影响视力和视野。
目的：觀察非增殖期糖尿病視網膜病變黃斑區硬性滲齣對視功能的影響。方法迴顧性分析自2010年3月-2011年5月確診為非增殖期糖尿病視網膜病變者共37例71眼，根據黃斑區6mm硬性滲齣纍及象限範圍分為5組、按滲齣的程度分為4級，併分析其與視力、視野的關繫。結果黃斑區硬性滲齣範圍：A組(0象限)、B組(1箇象限)、C組(2象限)、D組(3箇象限)、E組(4箇象限)視力分彆是0.83±0.22、0.31±0.24、0.20±0.24、0.17±0.12、0.12±0.13，方差分析差異有統計學意義（F=17.62，P=0.00）；視野平均缺損分彆為-1.73±1.71、-7.39±4.21、-8.82±6.10、-10.03±3.47、-10.99±2.52，方差分析差異有統計學意義（F=5.79，P=0.00）。黃斑區硬性滲齣程度1級、2級、3級、4級組視力分彆為0.80±0.23、0.33±0.25、0.15±0.14、0.06±0.03，方差分析差異有統計學意義（F=32.19，P=0.00）；視野平均缺損分彆為-2.14±2.01、-7.82±3.68、-9.90±2.57、-10.49±8.08，方差分析差異有統計學意義（F=7.57，P=0.00）。結論黃斑區硬性滲齣的程度和範圍明顯影響視力和視野。
목적：관찰비증식기당뇨병시망막병변황반구경성삼출대시공능적영향。방법회고성분석자2010년3월-2011년5월학진위비증식기당뇨병시망막병변자공37례71안，근거황반구6mm경성삼출루급상한범위분위5조、안삼출적정도분위4급，병분석기여시력、시야적관계。결과황반구경성삼출범위：A조(0상한)、B조(1개상한)、C조(2상한)、D조(3개상한)、E조(4개상한)시력분별시0.83±0.22、0.31±0.24、0.20±0.24、0.17±0.12、0.12±0.13，방차분석차이유통계학의의（F=17.62，P=0.00）；시야평균결손분별위-1.73±1.71、-7.39±4.21、-8.82±6.10、-10.03±3.47、-10.99±2.52，방차분석차이유통계학의의（F=5.79，P=0.00）。황반구경성삼출정도1급、2급、3급、4급조시력분별위0.80±0.23、0.33±0.25、0.15±0.14、0.06±0.03，방차분석차이유통계학의의（F=32.19，P=0.00）；시야평균결손분별위-2.14±2.01、-7.82±3.68、-9.90±2.57、-10.49±8.08，방차분석차이유통계학의의（F=7.57，P=0.00）。결론황반구경성삼출적정도화범위명현영향시력화시야。
Objective To evaluate the influences of hard exudates on macular function of patients with nonproliferative diabet-ic retinopathy. Methods Thirty seven diabetic patients(71 eyes) who were diagnosed as nonproliferative diabetic retinopathy from March 2010 to May 2012 were enrolled for the study. 71 eyes were divided into five groups according to exudates involvement quadrants and four groups were used to estimate the levels of exudates,in order to analyze the relationship between exudates and the visual function. Results Exudates within macula involvement quadrants:The best visual acuities of A,B,C and D group are 0. 83±0.22,0.31±0.24,0.20±0.24,0.17±0.12,0.12±0.13 respectively, they were statistical significantly (F=17.62,P=0.00);The visual field Mean Deviation of A,B,C and D group is -1.73 ±1.71,-7.39 ±4.21,-8.82 ±6.10,-10.03 ±3.47,-10.99 ±2.52 respectively. There was a significantly difference betweet them (F=5.79,P=0.00). The levels of exudates within macula:The best visual acuities of 1,2,3 and 4 group are 0.80±0.23,0.33±0.25,0.15±0.14,0.06±0.03 respectively,they were statistical significantly(F=32.19,P=0. 00);The visual field Mean Deviation of 1,2,3 and 4 group are -2.14±2.01,-7.82±3.68,-9.90±2.57,-10.49±8.08,respectively. they were significant decrease (F=7.57,P=0.00). Conclusion The involving quadrants and the levels of exudates within macular lutea do have effection s on visual acuity and visual field.
