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早期治疗糖尿病性视网膜病变研究:设计与患者基线特征。ETDRS报告第7号。

Early Treatment Diabetic Retinopathy Study design and baseline patient characteristics. ETDRS report number 7.

出版信息

Ophthalmology. 1991 May;98(5 Suppl):741-56. doi: 10.1016/s0161-6420(13)38009-9.

Abstract

The Early Treatment Diabetic Retinopathy Study (ETDRS), a multicenter collaborative clinical trial supported by the National Eye Institute, was designed to assess whether argon laser photocoagulation or aspirin treatment can reduce the risk of visual loss or slow the progression of diabetic retinopathy in patients with mild-to-severe nonproliferative or early proliferative diabetic retinopathy. The 3711 patients enrolled in the ETDRS were assigned randomly to either aspirin (650 mg per day) or placebo. One eye of each patient was assigned randomly to early argon laser photocoagulation and the other to deferral of photocoagulation. Both eyes were to be examined at least every 4 months and photocoagulation was to be initiated in eyes assigned to deferral as soon as high-risk proliferative retinopathy was detected. Examination of a large number of baseline ocular and patient characteristics indicated that there were no important differences between randomized treatment groups at baseline.

摘要

早期治疗糖尿病性视网膜病变研究(ETDRS)是一项由国家眼科研究所支持的多中心协作临床试验,旨在评估氩激光光凝或阿司匹林治疗能否降低轻度至重度非增殖性或早期增殖性糖尿病性视网膜病变患者视力丧失的风险或减缓糖尿病性视网膜病变的进展。参与ETDRS的3711名患者被随机分配至阿司匹林组(每日650毫克)或安慰剂组。每位患者的一只眼睛被随机分配至早期氩激光光凝治疗,另一只眼睛则延迟光凝治疗。双眼至少每4个月检查一次,一旦检测到高危增殖性视网膜病变,即对分配至延迟治疗组的眼睛进行光凝治疗。对大量基线眼部和患者特征的检查表明,随机治疗组在基线时没有重要差异。

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