目的:观察甲钴铵在黄斑水肿治疗中对神经功能恢复的影响。方法:选择确诊为视网膜血管病所致的黄斑水肿、并符合入选标准的患者312例487眼,分为两组,对照组使用各种促进黄斑水肿消退的治疗方法,试验组在对照组的基础上最少使用1mo的甲钴铵。结果:联合使用甲钴铵的试验组较对照组有更好的视力预后。结论:在黄斑水肿的治疗中,除了积极的消除水肿外,联合使用神经保护药物治疗是非常有意义的。

AIM:To observe the effect of mecobalamin on neurological recovery in the treatment of macular edema.METHODS:Three hundred and twelve cases 487 eyes of macular edema caused by retinal vascular diseases were enrolled and divided into two groups.The control group was treated with various methods to relieve the macular edema only,while the trial group was treated with additional neuroprotective medicine,mecobalamin,at least for one month.RESULTS:A better visual prognosis was gained in the trial group.CONCLUSION:The neuroprotective therapy is profitable in the treatment of macular edema in addition to the routine edema-relief-medicine.

R774.5