国际中医中药杂志
國際中醫中藥雜誌
국제중의중약잡지
INTERNATIONAL JOURNAL OF TRIDITIONAL CHINESE MEDICINE
2010年
1期
22-23
,共2页
葛建杰%高夕宁%李彩萍%田霞
葛建傑%高夕寧%李綵萍%田霞
갈건걸%고석저%리채평%전하
中心性渗出性脉络膜视网膜病变%中药%活血化瘀
中心性滲齣性脈絡膜視網膜病變%中藥%活血化瘀
중심성삼출성맥락막시망막병변%중약%활혈화어
Central exudative chorioretinopathy%Chinese medicine%Promoting blood circulation and removing blood stasis
目的 观察中药活血化瘀方对中心性渗出性脉络膜视网膜病变(central exudative chorioretinopathy,CEC)的临床疗效.方法 将中心性渗出性脉络膜视网膜炎患者339例346眼,完全随机分为治疗组176例181眼和对照组163例165眼,治疗组采用中药辩证与辩病相结合的方法治疗,对照组采用常规疗法治疗.结果 治疗组矫正视力0.01～1.2,176例181眼中治愈76眼(41.99%)、好转85眼(46.96%)、无效20眼(11.05%),总有效率为88.95%.对照组163例165眼中治愈62眼(37.57%)、好转67眼(40.60%)、无效36眼(21.82%),总有效率为78.18%,两组总有效率比较差异有统计学意义(U=2.05693,P＜0.05),治疗组治疗后3月进行FFA、OCT复查,治疗组中76眼荧光素渗漏消失、OCT示脉络膜新生血管(choroid al neovascularisation,CNV)病灶萎缩消失;85眼荧光素渗漏减轻、OCT示CNV病灶变小;12眼荧光素仍渗漏,8眼有瘢痕形成.结论 中药活血化瘀方可有效的促进眼底出血、渗出及视网膜水肿的消退,提高视力.
目的 觀察中藥活血化瘀方對中心性滲齣性脈絡膜視網膜病變(central exudative chorioretinopathy,CEC)的臨床療效.方法 將中心性滲齣性脈絡膜視網膜炎患者339例346眼,完全隨機分為治療組176例181眼和對照組163例165眼,治療組採用中藥辯證與辯病相結閤的方法治療,對照組採用常規療法治療.結果 治療組矯正視力0.01～1.2,176例181眼中治愈76眼(41.99%)、好轉85眼(46.96%)、無效20眼(11.05%),總有效率為88.95%.對照組163例165眼中治愈62眼(37.57%)、好轉67眼(40.60%)、無效36眼(21.82%),總有效率為78.18%,兩組總有效率比較差異有統計學意義(U=2.05693,P＜0.05),治療組治療後3月進行FFA、OCT複查,治療組中76眼熒光素滲漏消失、OCT示脈絡膜新生血管(choroid al neovascularisation,CNV)病竈萎縮消失;85眼熒光素滲漏減輕、OCT示CNV病竈變小;12眼熒光素仍滲漏,8眼有瘢痕形成.結論 中藥活血化瘀方可有效的促進眼底齣血、滲齣及視網膜水腫的消退,提高視力.
목적 관찰중약활혈화어방대중심성삼출성맥락막시망막병변(central exudative chorioretinopathy,CEC)적림상료효.방법 장중심성삼출성맥락막시망막염환자339례346안,완전수궤분위치료조176례181안화대조조163례165안,치료조채용중약변증여변병상결합적방법치료,대조조채용상규요법치료.결과 치료조교정시력0.01～1.2,176례181안중치유76안(41.99%)、호전85안(46.96%)、무효20안(11.05%),총유효솔위88.95%.대조조163례165안중치유62안(37.57%)、호전67안(40.60%)、무효36안(21.82%),총유효솔위78.18%,량조총유효솔비교차이유통계학의의(U=2.05693,P＜0.05),치료조치료후3월진행FFA、OCT복사,치료조중76안형광소삼루소실、OCT시맥락막신생혈관(choroid al neovascularisation,CNV)병조위축소실;85안형광소삼루감경、OCT시CNV병조변소;12안형광소잉삼루,8안유반흔형성.결론 중약활혈화어방가유효적촉진안저출혈、삼출급시망막수종적소퇴,제고시력.
Objective To observe the effects of central exudative chorioretinopathy(central exudative chorioretinopathy,CEC)treated with blood-activating and stasis-removing Chinese medicines.Methods All 339 cases of central exudative chorioretinopathy with 346 infected eyes were randomly recruited into a treatment group(176 cases with 181 infected eyes)and a control group(163 cases with 165 infected eyes).The treatment group was treated with traditional Chinese medicine by dialectical combination of syndrome and disease,while the control group was treated with conventional treatment.Results The corrected visual acuity was 0.01～1.2 in the treatment group.Of all 181 eyes in 176 patients,76 eyes were cured(41.98%),85 eyes were improved(46.96%),and 20 eyes were ineffective(11.6%),with a total effective rate being 88.94%.BY contrast,in the control group,of all 165 eyes in 163 patients,62 eyes were cured(37.57%),67 eyes were improved(40.60%),and 36 eyes were ineffective(21.83%),with a total effective rate being 78.17%.There was significant difference in the total effective difference between the two groups(U=2.05693,P＜0.05).FFA and OCT were reexamined for the patients in the treatment group three menths after the treatment.The results showed that fluorescein leakage and choroidal neovascularization(choroid al neovascularisation,CNV)lesions disappeared in 76 eyes;fluorescein leakage and CNV lesions relieved in 85 Eyes;fluorescein leakage still existed in 12 eyes;and sear formed in 8 eyes.Conclusion Blood-circulating and stasis-removing Chinese medicines have good effects in promoting subhyaloid hemorrhage and exudation,eliminating retinal oedema,and improving eyesight.
