| 金婷，薛淑红.激光联合药物治疗中心性浆液性脉络膜视网膜病变的疗效观察.[J].中南医学科学杂志.,2013,41(6):576-579. |
| 激光联合药物治疗中心性浆液性脉络膜视网膜病变的疗效观察 |
| Clinical Effect of Laser Combined with Drugs in TreatingCentral Serous Chorioretinopathy |
| 投稿时间：2013-04-11 |
| DOI： |
| 中文关键词: 中心性浆液性脉络膜视网膜病变 激光 七叶洋地黄双苷滴眼液 复方血栓通胶囊 光学相干断层成像 |
| 英文关键词:central serous chorioretinopathy laser esculin and digitalisglycosides eye drops complex Xueshuantong capsule optical coherence tomography |
| 基金项目: |
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| 中文摘要: |
| 目的评价激光联合七叶洋地黄双苷滴眼液及复方血栓通胶囊治疗中心性浆液性脉络膜视网膜病变（CSC）的临床疗效。方法CSC患者42例（42眼）随机分成2组，观察组激光封闭渗漏点，术后眼局部使用七叶洋地黄双苷滴眼液，同时服用复方血栓通胶囊，连用30天。对照组单纯激光封闭渗漏点。对两组疗效进行观察并比较。结果治疗后2周，观察组好转率90.5%，对照组好转率61.9%，两组间差异有统计学意义（P=003）。治疗后4周、6周观察组治愈率明显高于对照组（P=0.002；P=0.004），尤其在治疗后4周时差异更加显著。结论视网膜激光光凝联合七叶洋地黄双苷滴眼液、复方血栓通胶囊治疗CSC，标本兼治，大大提高了治愈效果，明显缩短了病程，值得临床推广。 |
| 英文摘要: |
| ObjectiveTo evaluate the clinical effect of laser combined with Esculin and Digitalisglycosides Eye Drops and complex Xueshuantong capsules in treating central serous chorioretinopathy.Methods42 cases(42 eyes)with CSC were divided into two groups randomly.In observation group,Laser treatment was performed at the spots of leakage.After laser coagulation,the patients were treated with Esculin and Digitalisglycosides Eye Drops(one drop a time,three times daily) and complex Xueshuantong capsules (three capsules one time,three times daily) for thirty days.Patients in control group were only treated by laser coagulation.The therapeutic effects of two groups were compared.ResultsAfter two weeks treatment,the improvement rate were 90.5% in observation group and 61.9% in control group.The difference was statistically significant(P=0.03).After four weeks and six weeks treatment,there was significant difference of care rate between two groups respectively(P=0.002；P=0.004),especially after four weeks treatment.ConclusionLaser combined with Esculin and Digitalisglycosides Eye Drops and complex Xueshuantong capsules in treating central serous chorioretinopathy,can increase the curative effect and shorten the course obviously.It can also accelerate the recovery of visual function and the structure of retina,which was an essential treatment for CSC. |
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