ABSTRACT
Objective To compare the efficacy and safety of modified panretinal photocoagulation (MPRP) and traditional panretinal photocoagulation (PRP) for diabetic retinopathy (DR).Methods The clinical case-control methods were used.A total of 53 patients (106 eyes) who were confirmed as severe nonproliferative diabetic retinopathy (NPDR) or mild proliferative diabetic retinopathy (PDR) after fundus fluorescein angiography (FFA) between October 2013 to January 2017 were enrolled in this study,and the two eyes of each patients were in the same degree of DR,with the 53 right eyes undergoing MPRP (treatment group) and the 53 left eyes receiving PRP (control group).Various including visual acuity,intraocular pressure,mydriatic fundus photography and optical coherence tomography (OCT) findings were observed at 1 day,1 week,1 month,3 months and 6 months after laser treatment,and FFA examination was performed 3 months and 6 months after laser treatment for the comparison of the efficacy and safety in the two groups,Results There was no statistically significant difference in the best-corrected visual between the two groups after treatment (all P ＞ 0.05),but the average visual acuity of the treatment group was higher than that in the control group.The retinal nonperfusion area and new blood vessels disappeared in 39 eyes (73.6％) in the treatment group,and the effective rate was 91％,while the area and new blood vessels disappeared in 29 eyes (54.7％) in the control group,and the effective rate was 75％.There were significant differences in the retinal nonperfusion disappearance and the effective rate of the two groups (both P ＜0.05).Conelusion MPRP is an effective and safe technique in the treatment of diabetic retinopathy,which is superior to traditional PRP.
ABSTRACT
Intellectual disability is defined as a group of diseases with generally mental function significantly lower than the same age level, accompanied by adaptive behavior defectiveness in a developmental stage. Hyperactivity is a common symptom of intellectual disability in children. In addition to clinical rehabilitation training, TCM treatment for this disease also achieved better efficacy. This article expounded tonifying essence and blood, promoting coronary circulation and nourishing the brain, and tranquilizing through the thoughts of classification treatment of viscera classification syndromes, the treatment of meridians, and separate treatment for san jiao, and combination of acupuncture and TCM, which have achieved satisfactory efficacy.