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目的观察星状神经节阻滞(SGB)治疗眼底动脉栓塞的疗效。方法将40例(40眼)眼底动脉栓塞患者随机分为观察组和对照组,各20例。对照组给予降眼压、扩容、营养神经等常规治疗,观察组在常规治疗的基础上予以SGB。根据视力及眼底荧光造影评价疗效。结果术后随访3～6个月,观察组有效17例(17眼、85%),无效3例(3眼、15%);对照组分别为8例(8眼、40%)、无效12例(12眼、60%);两组比较,P均<0.05。结论 SGB可提高眼底动脉栓塞患者的疗效,并能保护患眼视功能。
Objective To observe the efficacy of stellate ganglion block (SGB) in the treatment of retinal artery embolism. Methods Forty patients (40 eyes) with fundus arterial embolism were randomly divided into observation group and control group, with 20 cases in each group. The control group was given intraocular pressure reduction, dilatation, nourishment nerves and other conventional treatment, the observation group on the basis of conventional treatment to be SGB. According to visual acuity and fundus fluorescein angiography evaluation of curative effect. Results The follow-up was 3 to 6 months after operation. The observation group was effective in 17 cases (17 eyes, 85%) and 3 cases (3 eyes, 15%). The control group was 8 cases (8 eyes, 40%), (12 eyes, 60%); P <0.05 in both groups. Conclusion SGB can improve the efficacy of fundus embolism and protect the ocular vision.