国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2011年
11期
1876-1879
,共4页
宋剑涛%孟青青%郭欣璐%袁敏立%任燕茹%接传红%高健生
宋劍濤%孟青青%郭訢璐%袁敏立%任燕茹%接傳紅%高健生
송검도%맹청청%곽흔로%원민립%임연여%접전홍%고건생
视网膜动脉阻塞%治疗效果%治疗时间窗
視網膜動脈阻塞%治療效果%治療時間窗
시망막동맥조새%치료효과%치료시간창
retinal artery occlusion%therapeutic effect%treatment time window
目的:观察中西医结合综合疗法治疗发病时间较长的视网膜动脉阻塞的临床疗效,并探讨视网膜动脉阻塞治疗的时间窗.方法:采用常规疗法、联合中药、神经修复的综合方法治疗14例15眼连续就诊于中国中医科学院眼科医院一病区的患者,并对其进行回顾性研究,比较并分析治疗后7,14,30d视力结果及治疗前后视野结果.结果:患者13例14眼完成14d治疗,11例12眼完成30d治疗.治疗7d后15眼中有11眼(73.33%)视力改善,14d后14眼中11眼(78.57%)视力改善,治疗30d后12眼中有11眼(91.67%)视力改善.治疗7d与治疗前比较(P＜0.01)、治疗14d与7d比较(P＜0.05)、治疗30d与14d比较(P＜0.05)视力均有显著的提高.14例中12例完成视野检查,治疗后视野平均敏感度较治疗前显著意义的改善(P＜0.05).结论:常规疗法、联合中药、神经修复的综合方法治疗视网膜动脉阻塞有较好疗效,尤其对发病后视网膜水肿未消失之前治疗价值更高,同时治疗时机也不应拘泥在传统概念的发病3d内,或许更长,比如60d.
目的:觀察中西醫結閤綜閤療法治療髮病時間較長的視網膜動脈阻塞的臨床療效,併探討視網膜動脈阻塞治療的時間窗.方法:採用常規療法、聯閤中藥、神經脩複的綜閤方法治療14例15眼連續就診于中國中醫科學院眼科醫院一病區的患者,併對其進行迴顧性研究,比較併分析治療後7,14,30d視力結果及治療前後視野結果.結果:患者13例14眼完成14d治療,11例12眼完成30d治療.治療7d後15眼中有11眼(73.33%)視力改善,14d後14眼中11眼(78.57%)視力改善,治療30d後12眼中有11眼(91.67%)視力改善.治療7d與治療前比較(P＜0.01)、治療14d與7d比較(P＜0.05)、治療30d與14d比較(P＜0.05)視力均有顯著的提高.14例中12例完成視野檢查,治療後視野平均敏感度較治療前顯著意義的改善(P＜0.05).結論:常規療法、聯閤中藥、神經脩複的綜閤方法治療視網膜動脈阻塞有較好療效,尤其對髮病後視網膜水腫未消失之前治療價值更高,同時治療時機也不應拘泥在傳統概唸的髮病3d內,或許更長,比如60d.
목적:관찰중서의결합종합요법치료발병시간교장적시망막동맥조새적림상료효,병탐토시망막동맥조새치료적시간창.방법:채용상규요법、연합중약、신경수복적종합방법치료14례15안련속취진우중국중의과학원안과의원일병구적환자,병대기진행회고성연구,비교병분석치료후7,14,30d시력결과급치료전후시야결과.결과:환자13례14안완성14d치료,11례12안완성30d치료.치료7d후15안중유11안(73.33%)시력개선,14d후14안중11안(78.57%)시력개선,치료30d후12안중유11안(91.67%)시력개선.치료7d여치료전비교(P＜0.01)、치료14d여7d비교(P＜0.05)、치료30d여14d비교(P＜0.05)시력균유현저적제고.14례중12례완성시야검사,치료후시야평균민감도교치료전현저의의적개선(P＜0.05).결론:상규요법、연합중약、신경수복적종합방법치료시망막동맥조새유교호료효,우기대발병후시망막수종미소실지전치료개치경고,동시치료시궤야불응구니재전통개념적발병3d내,혹허경장,비여60d.
AIM: To observe the clinical effects of traditional Chinese medicine combined with Western medicine for acute retinal artery occlusion(RAO) after a long time onset and to evaluate the treatment time window.METHODS: This retrospective study included 14 cases (15 eyes) with acute RAO, who received a combined modality therapy for 30 days, including conventional treatment, integrating traditional Chinese medicine and nerve cells restoration. The clinical data of visual acuity after treating 7 days, 14 days, 30 days and visual field pre-therapy and post-treatment were analyzed and evaluated.RESULTS: Thirteen cases(14 eyes)completed 14 days treatment, 11 cases(12 eyes)completed 30 days treatment. 11 eyes of 15 eyes(73.33%)at 7 days, 11 eyes of 14 eyes(78.57%)at 14 days, 11 eyes of 12 eyes(91.67%)at 30 days respectively gained significant vision improvement after treatment. Vision increased significantly after 7 days' treatment compared with pre-therapy(P＜0.01). The vision also increased significantly after 14 days' treatment compared with 7 days' and after 30 days' treatment compared with 14 days' respectively(P＜0.05). 12 of 14 cases completed visual field(VF) examination, VF mean sensitivity after treatment had significant improvement than before treatment (P<0.05).CONCLUSION: Synthetic therapies,including conventional treatment,integrating traditional Chinese medicine and nerve cells restoration are effective and available in RAO, especially when the retinal edema is exisent. So treatment opportunity should not be limited within 3 days of symptom onset instead of a longer time, even 60 days.
