复方血栓通胶囊联合羟苯磺酸钙胶囊治疗非增殖期糖尿病视网膜病变的疗效
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Efficacy of compound Xueshuantong capsules combined with calcium do-besilate capsules in treatment of non-proliferative diabetic retinopathy
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    摘要:

    目的:探讨羟苯磺酸钙胶囊联合复方血栓通胶囊治疗非增殖期糖尿病视网膜病变(DR)的治疗效果。方法:将90例非增殖期DR患者按照治疗方案不同分为对照组与观察组,每组各45例。两组分别予以羟苯磺酸钙胶囊治疗(对照组)及复方血栓通软胶囊联合羟苯磺酸钙胶囊治疗(观察组),两组均治疗12周。于治疗前后检测患者最佳矫正视力(BCVA)、眼底出血面积、眼底渗出面积、视网膜微血管瘤数目和黄斑中心凹厚度(CMT),并对患者进行糖尿病视网膜病变严重程度(DRSS)和中医证候积分评定;对比两组患者疗效差异。结果:与对照组相比,观察组治疗总有效率更高(80.00%vs. 60.00%,P<0.05)。治疗后,与对照组相比,观察组BCVA更高(P<0.05),眼底出血、渗出面积、CMT、DRSS评分、中医证候积分均更低(P<0.05),视网膜微血管瘤数目更少(P<0.05)。治疗后,观察组血清VEGF、ET-1水平均显著低于对照组(P<0.05)。结论:羟苯磺酸钙胶囊联合复方血栓通软胶囊治疗非增殖DR可提升疗效,改善患者视力,减轻微血管损伤和出血、渗出等眼底病理改变。

    Abstract:

    Objective:To investigate the therapeutic effect of compound Xueshuantong capsule combined with calcium do-besilate capsule in the treatment of non-proliferative diabetic retinopathy(DR).Methods:A total of 90 patients with non-prolif-erative DR were divided into control group and observation group according to different treatment methods,with 45 cases in each group.The two groups were treated with calcium dobesilate capsules and compound Xueshuantong soft capsules combined with calcium dobesilate capsules,respectively,for 12 weeks.Before and after treatment,the best corrected visual acuity(BC-VA),fundus hemorrhage area,fundus exudation area,number of retinal microaneurysms and central macular thickness(CMT)were detected,and the severity of diabetic retinopathy(DRSS)and TCM syndrome score were evaluated.The difference of cur-ative effect between the two groups was compared.Results:Compared with the control group,the total effective rate of the ob-servation group was higher(80.00%vs.60.00%),and the difference was significant(P<0.05).After treatment,compared with the control group,the BCVA of the observation group was higher(P<0.05),the fundus hemorrhage,exudation area,CMT,DRSS score and TCM syndrome score were lower(P<0.05),and the number of retinal microaneurysms was less(P<0.05).After treatment,the levels of serum VEGF and ET-1 in the observation group were lower than those in the control group(P<0.05).Conclusion:Calcium dobesilate capsule combined with compound Xueshuantong soft capsule in the treatment of non-proliferative DR can improve the curative effect,improve the visual acuity of patients,reduce microvascular injury and fun-dus pathological changes such as hemorrhage and exudation.

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潘岳峰;张大卫;.复方血栓通胶囊联合羟苯磺酸钙胶囊治疗非增殖期糖尿病视网膜病变的疗效[J].川北医学院学报,2025,40(10):1337-1341.

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  • 在线发布日期: 2025-11-03
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