胞磷胆碱钠对青光眼患者视野损害的疗效观察
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Observation on the efficacy of citicoline sodium on glaucoma visual field damage
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    摘要:

    目的:观察胞磷胆碱钠(citicoline)对青光眼性视野损害的疗效。

    方法:选择有视野缺损,眼压控制在18mmHg以下的青光眼患者。符合入选标准者共29例48眼,男16例27眼,女13例21眼; 其中原发性开角型青光眼25眼,闭角型青光眼19眼,正常眼压性青光眼4眼。使用胞磷胆碱钠片,每次0.2g口服,每日3次连续用药3mo。观察用药前后视野的变化。分别于用药后1mo及3mo检测视野平均敏感度(MS)、平均缺损值(MD)和丢失方差(LV)等指标,并与用药前进行比较。

    结果:用药1mo后48眼的平均视敏度值(MS)明显高于用药前,差异有统计学意义(P<0.01); MD值明显低于用药前,差异有统计学意义(P<0.05)。用药3mo后,患者视野MS值明显高于用药前,差异有统计学意义(P<0.01); MD和LV值明显下降,差异有统计学意义(P<0.01)。

    结论:胞磷胆碱钠对青光眼性视野损害有一定程度的保护作用。

    Abstract:

    AIM: To observe the efficacy of citicoline sodium on glaucoma visual field damage.

    METHODS: Glaucoma patients with visual field defects and intraocular pressure(IOP)< 18mmHg were chosen, totally 29 patients 48 eyes were selected, of which 16 cases were male, 27 eyes, 13 cases were female, 21 eyes; in which 25 eyes were with primary open-angle glaucoma; 19 eyes with angle-closed glaucoma, and 4 eyes with normal IOP glaucoma. Citicoline sodium tablets were used orally, each 0.2g 3 times daily, continuously for three months. The visual field mean defect(MD), mean sensitivity(MS)and loss variance(LV), and other indicators were detected before and 1 month, 3 months after treatment.

    RESULTS: One month after treatment, the MS of 48 eyes was significantly higher than that before treatment, the difference was statistically significant(P<0.01); MD value was significantly lower than that before treatment, the difference was statistically significant(P<0.05). Three months after treatment, the MS of patients was significantly higher than that before treatment, the difference was statistically significant(P<0.01); MD and LV value decreased, the difference was statistically significant(P<0.01).

    CONCLUSION: Citicoline sodium has protective effect on visual function of primary glaucoma to some extent.

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夏天,刘静,张羽.胞磷胆碱钠对青光眼患者视野损害的疗效观察.国际眼科杂志, 2012,12(10):1948-1950.

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  • 收稿日期:2012-05-18
  • 最后修改日期:2012-09-07
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