Clinical Observation Of Retinal Vein Obstructive Macular Edema Treated Under The Guidance Of Collateral Theory

Object: To guide the treatment of RVO-ME based on the theory of collaterals,and to develop the treatment of Tongluo Huoxue Lishui.Methods,to observe its clinical efficacy,to explore new ideas and methods of RVO-ME treatment.Method: A retrospective case study was performed to select 60 patients who met the criteria.The patients were treated with a randomized controlled method.The treatment group received basic treatment(triamcinolone acetonide 40 mg 0.5 ml post-injection,once every two weeks for 2-3 times;Calcium hydroxybenzenesulfonate(TID),combined with rhubarb aphid capsules,1 course every 2 weeks,taking 3 courses of medication.The control group was given the basic treatment combined with Compound Xueshuantong Capsule 3# TID,1 course every 2 weeks,taking 3 courses of medication.The visual acuity of the first,second and third courses,the height of the foveal fovea(CFT),the maximum retinal thickness(MRT),and the maximum retinal thickness(MRT)were observed.Retinal cross-sectional area(RCA),retinal cross-sectional pocket area,and Amsler table.After 3 courses of treatment,oral medication was continued,and the relevant indicators were observed again 3 months after the treatment to evaluate the long-term efficacy.Results: 1.Vision: The total effective rate was 96.7% in the treatment group and 83% in the control group.The treatment group was superior to the control group,and the results were significantly different(P<0.05).2.CFT: There was no significant difference between the two groups before treatment(P=0.49>0.05).After treatment,the two groups were different in each course of treatment(P<0.05),and the treatment effect was obvious.There was no significant difference between the first and second courses of treatment and macular edema before treatment.After the third course of treatment,there was a significant difference in the height of macular edema after 3 months(P<0.05).There were significant differences in the treatment group before and after treatment(P<0.05),and the average height of macular edema in the treatment group was significantly higher than that in the control group.3.MRT: There was no significant difference between the two groups before treatment(P>0.05).There was no significant difference between the two groups after treatment(P>0.05).There were significant differences between the two groups in the treatment before and after treatment(P<0.05).4.RCA: There was no significant difference between the two groups before treatment(P>0.05).There was no significant difference between the two groups after treatment(P>0.05).The two groups of patients were more obvious before and after treatment.5.The area of the lumen of RCA: There was no significant difference between the two groups before treatment(P>0.05).There was no significant difference between the two groups after treatment(P>0.05).After the month,there was significant difference between the two groups(P<0.05).The treatment effect of the treatment group was significantly better than that of the control group.There was no significant difference between the first and second courses of treatment before and after treatment(P>0.05),and there were significant differences in the observation period(P<0.05).Ther e was no significant difference in the first course of treatment before and after treatment in the control group.There were significant differences between the three courses and three months after treatment(P<0.05).The treatment group was significantly better than the control group.6.Analysis of Amsler table results: There was no significant difference between the two groups before treatment(P>0.05).After treatment,both groups of Amlser examinations improved.After the first course of treatment,there was no significant difference between the two groups(P>0.05).After the second and third courses of treatment and 3 months of continuous treatment,there was a significant difference in the therapeutic effect between the treatment group and the control group(P<0.01),and the treatment effect was remarkable.After treatment,the efficacy of the two groups was compared between the two groups.There was a significant difference in long-term efficacy between the two groups(P<0.05).There were significant differences between the two groups before and after treatment(P<0.05),and the treatment group was superior to the control group.7.Efficacy: There was no difference between the two groups in the first course of treatment(P>0.05);at the last follow-up,the effective rate was 96.7% in the treatment group and 87% in the control group.The two groups had significant differences(P<0.05),and the treatment group was better than the control group.The third course of treatment was compared with that after 3 months of treatment.The effective rate of the treatment group(93%)was significantly better than that of the control group(33%),and the results were different(P<0.05).The treatment group has a better long-term effect.Conclusion: The treatment of retinal vein obstructive macular edema is effective.The long-term treatment effect is better than the post-balloon injection of triamcinolone acetonide plus oral Chinese medicine.It can significantly improve the patient’s vision,significantly improve clinical symptoms and signs,and has good clinical application value.