Luo Dan, Qin Yali, Yuan Wei, Deng Hui, Zhang Youhua, Jin Ming
Department of Graduate School, Beijing University of Chinese Medicine, No. 11, North 3rd Ring East Road, Chaoyang District, Beijing 100029, China ; Department of Ophthalmology, China-Japan Friendship Hospital, Yinghua Donglu, Chaoyang District, Beijing 100029, China.
Department of Ophthalmology, China-Japan Friendship Hospital, Yinghua Donglu, Chaoyang District, Beijing 100029, China.
Evid Based Complement Alternat Med. 2015;2015:539185. doi: 10.1155/2015/539185. Epub 2015 Sep 20.
This randomized, double-dummy, double-blind study was to observe the therapeutic effects of compound Danshen dripping pill (CDDP) in treating early diabetic retinopathy (DR). All the 57 type 2 diabetes cases in nonproliferative diabetic retinopathy (NPDR) stage were divided into two groups randomly: 28 cases treated with CDDP as the treated group and 29 cases treated with calcium dobesilate as the control group. The best corrected visual acuity (BCVA) in the treated group was significantly improved after treatment when compared to that before treatment (P < 0.05). Mean defect (MD) of visual field, hemorrhage area of the fundus, microaneurysm number, fluorescent leakage area, and capillary nonperfusion area evaluated by visual field, fundus photography, and fundus fluorescein angiography in the treated group had the same results as BCVA. However, there was no statistical difference in each index between the two groups. No obvious adverse events with clinical significance occurred. Our present study showed that CDDP has a similar improvement and safety to calcium dobesilate for NPDR. In future DR treatments, CDDP may function as the auxiliary drug.
本随机、双模拟、双盲研究旨在观察复方丹参滴丸(CDDP)治疗早期糖尿病视网膜病变(DR)的疗效。将57例非增殖性糖尿病视网膜病变(NPDR)期的2型糖尿病患者随机分为两组:28例接受CDDP治疗作为治疗组,29例接受羟苯磺酸钙治疗作为对照组。治疗组治疗后的最佳矫正视力(BCVA)与治疗前相比有显著改善(P < 0.05)。治疗组通过视野、眼底照相和眼底荧光血管造影评估的视野平均缺损(MD)、眼底出血面积、微动脉瘤数量、荧光渗漏面积和毛细血管无灌注面积与BCVA结果相同。然而,两组各指标之间无统计学差异。未发生具有临床意义的明显不良事件。我们目前的研究表明,对于NPDR,CDDP与羟苯磺酸钙具有相似的改善效果和安全性。在未来的DR治疗中,CDDP可能作为辅助药物发挥作用。