红参粉末治疗糖尿病视网膜病变的临床观察

目的：观察红参粉末治疗糖尿病视网膜病变的临床效果。方法：随机选取2012年1月至2012年12月在我院接受治疗的2型糖尿病合并糖尿病视网膜病变（Diabetic Retinopathy，DR）患者103例。其中30例（57眼）仅采用常规方法治疗，即对照组；其余73例（125眼）在常规治疗的基础上加用红参粉末，即观察组。治疗180天后，观察并比较两组患者的视力、眼底镜、荧光血管造影等检查结果的变化情况。结果：在观察组中，患者经红参粉末治疗后的视力与治疗前相比有所提高，差异具有统计学意义（P〈0．05）；而对照组中，患者治疗前后的视力变化无统计学意义（P〉0．05）；观察组治疗有效率为76．7％，而对照组治疗有效率为46．7％，差异有显著意义（P〈0．05）。观察组中，男性DR患者治疗有效率为68．8％、女性为92．0％；早期DR治疗有效率为85．4％、晚期为65．1％；糖尿病病程不超过10年的DR患者治疗有效率为88．9％、超过10年的为64．9％，差异均具有统计学意义（P〈0．05）。结论：尽早的发现和及时的治疗可减少糖尿病患者视网膜病变的发生率，从而避免因视网膜病变而引起的严重的视力下降，甚至失明。红参粉末治疗糖尿病视网膜病变有显著的临床效果，特别是对早期糖尿病视网膜病变的疗效更佳，值得临床推广。

Observation about the Clinical Effects of Red Ginseng Powder on the Treatment of Diabetics Retinopathy

Objective： To observe the effects of Red Ginseng powder on the treatment of diabetic retinopathy. Methods： One hundred and three patients who were enrolled in our hospital from January to December 2012 with type 2 diabetes and diabetic retinopathy （DR） were selected randomly. Thirty patients （57 eyes） , control group, were treated with routine methods. The other seventy-three patients （125 eyes）, the observation group , were treated with the Red Ginseng powder as well as the regular methods. After 180 days, we observed and compared the vision, the ophthalmofundoscope, and the fluorescence fundus angiography （FFA） of patients between the two groups. Results： After the treatment, the vision of patients in the observation group was more improved with statistically significant difference （P〈0.05）. However, the data in the control group was not improved significantly. The total effect rate of the observation group was 76.7% while the control group was 46.7% with significant difference （P〈0.05）. In the observation group, the effect rate of males was 68.8% and that of females was 92.0%; 85.4% in early and 65.1% in advanced patients, 88.9% in patients with no more than ten years and 64.9% in which of more than ten years. All of the data was statistically different （P〈0.05）. Conclusions： With early detection and timely treatment, the incidence of diabetic retinopathy could be reduced. Therefore, the visual impairment and blindness induced by diabetes may be lessened and prevented. It is suggested that the Red Ginseng powder had better effects on the treatment of DR, especially on the primary stage. It is worthy of improving on the clinical fields.