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《復方血栓通膠囊聯(lián)合羥苯磺酸鈣治療糖尿病視網膜病變的療效觀察》由會員上傳分享,免費在線閱讀,更多相關內容在學術論文-天天文庫。
1、前血關合2018-03-2910:29:48中國現代醫(yī)生2018年5期瞿正旭[摘耍]戸的探討復方血栓通膠囊聯(lián)合疑苯磺酸鈣治療糖尿病視網膜病變的臨床療效。方法選取2016年1月?2017年1月我院住院治療的糖尿病視網膜病變患者70例,根據治療方法不同分為觀察組35例、對照組35例。兩組均予皮下注射胰島素或口服降糖藥治療,控制患者空腹血糖<7.0mmol/L,餐后2h血糖<9.0mmol/Lo同時指導患者飲食,給予降壓和降脂治療。對照組予疑苯磺酸鈣片口服,3粒/次,每天3次,觀察組在對照組治療的基礎上聯(lián)合復方血栓通膠囊口服
2、,500mg/次,每天3次,兩組均連續(xù)治療5個月。結果治療后,觀察組患者的臨床總有效率明顯高于對照組,兩組療效組間比較差異具有顯著性(x2=8.732,P<0.05)。兩組患者的視力及視野情況治療后較治療前均明顯改善,其中與對照組治療后比較,觀察組患者的視力明顯提高,視野MD值明顯縮小,組間比較差異顯著(PV0.05)。結論復方血栓通膠囊聯(lián)合疑苯磺酸鈣治療糖尿病視網膜病變效果確切,叮使患者的視力明顯提高,改善視功能,值得臨床推廣和應用。[關鍵詞]糖尿病視網膜病變;復方血栓通膠囊;疑苯磺酸鈣;視力;視野[中圖分類號]R5
3、87.2;R774.1[文獻標識碼]A[文章編1673-9701(2018)05-0030-03[Abstract]ObjectiveToinvestigatetheclinicalefficacyofcompoundXueshuantongcapsulecombinedwithcalciumdobesilateinthetreatmentofdiabeticretinopathy.MethodsSeventypatientswithdiabeticretinopathyhospitalizedinourhospita
4、lfromJanuary2016toJanuary2017wereenrolledinthisstudy.Accordingtodifferenttreatmentmethods,thepatientsweredividedintoobservationgroup(n二35)andcontrolgroup(n=35)?Bothgroupsweresubcutaneouslyinjectedwithinsulinororalhypoglycemicagentstocontrolthefastingbloodglucose
5、ofpatients<7.0mmol/L,and2hpostprandialbloodglucose<9.0mmol/L.Atthesametimepatients1dietwasguidedandantihypertensiveandlipid-loweringtreatmentsweregiven.Thecontrolgroupwastreatedwithcalciumdobesilateorally,3capsules/time,3timesaday.Theobservationgroupwastreatedwi
6、thcompoundXueshuantongcapsuleorallybasedonthetreatmentofthecontrolgroup,with500mg/timedaily,3timesaday.Thetwogroupswerecontinuouslytreatedfor5months.ResultsAftertreatment,thetotalclinicalefficiencyoftheobservationgroupwassignifiesntlyhigherthanthatofthecontrolgr
7、oup?Therewassignificantdifferenceintheefficiencybetweenthetwogroups(x2=8.732,P<0.05)?Visualacuityandvisualfieldinbothgroupsweresignificantlyimprovedaftertreatmentcomparedwithbeforetreatment.Comparedwiththatofthecontrolgroup,thevisualacuityoftheobservationgroupwa
8、ssignificantlyincreasedandthevisualfieldMDwassignificantlyreduced?Andthediffereneebetweengroupswassignificant(P<0.05)?ConclusionCompoundXueshuantongcapsulecombinedwit