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目的:对糖尿病视网膜病变(DR)患者激光治疗后视力预后及其影响因素进行讨论分析。方法:对笔者所在医院收治的120例糖尿病视网膜病变患者行激光治疗,在其术后3个月~2年对患者进行视力及眼底检查和随访。结果:经眼底检查,治疗有效患者共105例,有效率达87.5%,早期和非增殖期患者的激光明显高于高危增殖期患者,糖化血红蛋白<8.0%的患者明显高于糖化血红蛋白≥8.0%的患者,所有数据比较差异均有统计学意义(P<0.05)。结论:对DR患者行激光治疗,能够有效减少视网膜病变的恶化,对视力有明显保护作用,但疗效与患者糖尿病类型、病情所处阶段血糖控制情况有关,DR患者应早期积极诊断和进行激光治疗。
Objective: To discuss and analyze the prognosis and influencing factors of visual acuity after laser treatment in patients with diabetic retinopathy (DR). Methods: 120 cases of diabetic retinopathy patients treated in the author’s hospital underwent laser treatment. Visual acuity and fundus examination and follow-up were performed in 3 months to 2 years after operation. Results: In the fundus examination, 105 patients were treated effectively, the effective rate was 87.5%. The laser in early and non-proliferative patients was significantly higher than that in high-risk proliferative patients. The patients with glycosylated hemoglobin <8.0% were significantly higher than those with glycosylated hemoglobin≥8.0% Of patients, all data were statistically significant differences (P <0.05). Conclusions: Laser treatment of DR patients can effectively reduce the deterioration of retinopathy and have a significant protective effect on visual acuity. However, the effect is related to the type of diabetes and the stage of blood glucose control in the patients. DR patients should be diagnosed early and be treated with laser therapy .