中国全科医学
中國全科醫學
중국전과의학
CHINESE GENERAL PRACTICE
2010年
5期
550-551
,共2页
视神经病变%缺血性%针刺%疏肝行气%治疗
視神經病變%缺血性%針刺%疏肝行氣%治療
시신경병변%결혈성%침자%소간행기%치료
Optic neuropathy%ischemic%Acupuncture%Soothing the liver to promote qi flow%Treatment
目的 探讨针刺联合疏肝行气为主的中药治疗缺血性视神经病变的临床效果.方法 选择2007年8月-2009年4月广东省中医院眼科门诊符合纳入标准的缺血性视神经病变患者80例(120眼),随机分为两组,观察组40例(60眼)以针刺联合疏肝行气为主的中药汤剂口服,汤药l剂/d,针刺1次/3 d,15 d为1个疗程,共2个疗程.对照组40例(60眼)采用复方樟柳碱注射液患侧颞浅动脉旁皮下注射,2 ml/次,1次/d,15 d为1个疗程,共2个疗程;观察两组治疗前后视力、视野的改变,评价临床疗效.结果 观察组临床疗效明显优于对照组,差异有统计学意义(P<0.05);两组治疗后视力及视野缺损比较差异均有统计学意义(P<0.05).结论 针刺联合疏肝行气为主的中药治疗缺血性视神经病变能有效改善患者的视力、视野,具有良好的临床疗效.
目的 探討針刺聯閤疏肝行氣為主的中藥治療缺血性視神經病變的臨床效果.方法 選擇2007年8月-2009年4月廣東省中醫院眼科門診符閤納入標準的缺血性視神經病變患者80例(120眼),隨機分為兩組,觀察組40例(60眼)以針刺聯閤疏肝行氣為主的中藥湯劑口服,湯藥l劑/d,針刺1次/3 d,15 d為1箇療程,共2箇療程.對照組40例(60眼)採用複方樟柳堿註射液患側顳淺動脈徬皮下註射,2 ml/次,1次/d,15 d為1箇療程,共2箇療程;觀察兩組治療前後視力、視野的改變,評價臨床療效.結果 觀察組臨床療效明顯優于對照組,差異有統計學意義(P<0.05);兩組治療後視力及視野缺損比較差異均有統計學意義(P<0.05).結論 針刺聯閤疏肝行氣為主的中藥治療缺血性視神經病變能有效改善患者的視力、視野,具有良好的臨床療效.
목적 탐토침자연합소간행기위주적중약치료결혈성시신경병변적림상효과.방법 선택2007년8월-2009년4월광동성중의원안과문진부합납입표준적결혈성시신경병변환자80례(120안),수궤분위량조,관찰조40례(60안)이침자연합소간행기위주적중약탕제구복,탕약l제/d,침자1차/3 d,15 d위1개료정,공2개료정.대조조40례(60안)채용복방장류감주사액환측섭천동맥방피하주사,2 ml/차,1차/d,15 d위1개료정,공2개료정;관찰량조치료전후시력、시야적개변,평개림상료효.결과 관찰조림상료효명현우우대조조,차이유통계학의의(P<0.05);량조치료후시력급시야결손비교차이균유통계학의의(P<0.05).결론 침자연합소간행기위주적중약치료결혈성시신경병변능유효개선환자적시력、시야,구유량호적림상료효.
Objective To evaluate the therapeutic effect of acupuncture therapy combined with traditional Chinese medication of soothing the liver promote qi flow in treatment of ischemic optic neuropathy.Methods Totally 80 patients (120 eyes) with ischemic optic neuropathy,who visited phthalmological Department of TCM Hospital of Guangdong Province from August 2007 to April 2009,and were consistent with the inclusive criteria,were allocated randomly into trial group and control group.The patient in the trial group (n=40,60 eyes) were given acupuncture therapy,once three days,plus oral herbal decoction with the function of smoothing the liver to promote qi flow,one dosage a day.The patients in the control group (n=40,60eyes) were,subcutaneously at the site lateral to the superficial temporal artery of affected eye,given anisodine injection,2 ml once a day.Totally two courses of treatment,15 days in one,were conducted for all the patients.The changes of vision,and visual field were observed to evaluate the clinical effects.Results The effects were better in the trial group than in control group (P<0.05),and the differences in the improvement of vision and visual field were significant(P<0.05).Conclusion The acupuncture combined with soothing the liver to promote qi flow therapy can effectively improve the vision and visual field,having a good clinical effect for patients with ischemic optic neuropathy.
