| 引用本文:王雁，阿依努·努拉厚，何佳佳，高云仙.元芪祛瘀方治疗增生性糖尿病视网膜病变玻璃体切除术后的疗效随机对照观察[J].世界中医药,2019,(03):. |
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| 元芪祛瘀方治疗增生性糖尿病视网膜病变玻璃体切除术后的疗效随机对照观察 |
| Efficacy of Yuanqiquyu Prescription on Proliferative Diabetic Retinopathy after Vitrectomy：A Randomized Controlled Trial |
| 投稿时间：2018-08-15 |
| DOI：10.3969/j.issn.1673-7202.2019.03.040 |
| 中文关键词: 增生性糖尿病视网膜病变 玻璃体切除术 元芪祛瘀方 眼底荧光血管造影 中药治疗 临床疗效 糖尿病 白内障 |
| English Keywords:Proliferative diabetic retinopathy Vitrectomy Yuanqiquyu prescription Fundus fluorescein angiography Traditional Chinese Medicine treatment Clinical efficacy Diabetes mellitus Cataract |
| 基金项目:新疆维吾尔自治区乌鲁木齐市科学技术计划项目应用开发研究计划项目（Y151310013） |
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| 中文摘要: |
| 目的:观察元芪祛瘀方治疗增生性糖尿病视网膜病变玻璃体切除术后的临床疗效。方法:选取2016年1月至2017年12月收治的增生性糖尿病视网膜病变行玻璃体切割手术患者70例（70眼）作为研究对象，随机分为观察组和对照组，每组35例。观察组采用玻璃体切除术联合口服元芪祛瘀方治疗；对照组单纯采用玻璃体切除术。术前及术后第2、5个月时进行结局指标检测。结果：与对照组比较，治疗术后2个月和术后5个月观察组眼底荧光血管造影改变差异均有统计学意义（P<0.05）；观察组疗效好于对照组，差异有统计学意义（P<0.05）。结论：元芪祛瘀方减少了视网膜微动脉瘤的数量、改善了视网膜出血及渗出，以辅助提高了总体疗效。 |
| English Summary: |
| To observe the clinical efficacy of Yuanqiquyu prescription in the treatment of proliferative diabetic retinopathy after vitrectomy. Methods:A prospective randomized controlled study was adopted. A total of 70 cases(70 eyes)of proliferative diabetic retinopathy after vitrectomy were randomly divided into the observation group(n=35)and the control group(n=35)from January 2016 to December 2017. The observation group was treated with vitrectomy and Yuanqiquyu prescription，while the control group were treated with vitrectomy. The outcome indicators were detected before and after the second and the fifth month's operation. Results:The changes of fundus fluorescein angiography in the observation group were significantly different than those of the control group(P<0.001)after two months and five months' treatment. The difference of the total efficacy of the two groups were statistically significant(P<0.001). Conclusion:Yuanqiquyu prescription improves the number of retinal microaneurysms，reduces retinal hemorrhage and exudation，and improves overall efficacy，which is worthy of further clinical promotion. |
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