世界中医药
世界中醫藥
세계중의약
WORLD CHINESE MEDICINE
2013年
11期
1300-1302
,共3页
宋秋颖%张增雷%卫冬%杨惠婷
宋鞦穎%張增雷%衛鼕%楊惠婷
송추영%장증뢰%위동%양혜정
视神经萎缩%青盲%穴位贴敷%杞菊地黄丸%肝肾阴虚证
視神經萎縮%青盲%穴位貼敷%杞菊地黃汍%肝腎陰虛證
시신경위축%청맹%혈위첩부%기국지황환%간신음허증
Optic atrophy%glaucoma%Acupoint%Qijudihuang pills%Yin deficiency of liver and kidney
目的：观察明目复元汤联合中药穴位贴敷治疗视神经萎缩患者的临床疗效。方法：按随机数字表法将符合标准的74例患者（108眼）分为治疗组和对照组，其中治疗组38例（52眼），对照组36例（56眼），治疗组予以口服明目复元汤及患侧太阳穴贴敷中药药膏治疗，对照组采用曲克芦丁、肌苷、腺苷钴胺、胞磷胆碱和维生素B1治疗。结果：治疗组视力显效9眼，显效率17.31％，总有效率75.00％。对照组显效3眼，显效率5.36％，总有效率60.71％。治疗组视野平均缺损显效8眼，显效率15.38％，总有效率78.85％。对照组显效2眼，显效率3.58％，总有效率58.93％。治疗组视觉诱发电位（ Visual Evoked Poten-tial，F-VEP） P100波潜伏期显效8眼，显效率15.38％，总有效率76.92％。对照组显效3眼，显效率5.36％，总有效率58.93％。2组比较，视力、视野平均缺损和F-VEP P100波潜伏期的总有效率差异均无统计学意义（P＞0.05），显效率差异均有统计学意义（ P＜0.05）。结论：明目复元汤联合中药穴位贴敷对于提高视神经萎缩患者视力、减小视野平均缺损、缩短F-VEP P100波潜伏期均有一定疗效。
目的：觀察明目複元湯聯閤中藥穴位貼敷治療視神經萎縮患者的臨床療效。方法：按隨機數字錶法將符閤標準的74例患者（108眼）分為治療組和對照組，其中治療組38例（52眼），對照組36例（56眼），治療組予以口服明目複元湯及患側太暘穴貼敷中藥藥膏治療，對照組採用麯剋蘆丁、肌苷、腺苷鈷胺、胞燐膽堿和維生素B1治療。結果：治療組視力顯效9眼，顯效率17.31％，總有效率75.00％。對照組顯效3眼，顯效率5.36％，總有效率60.71％。治療組視野平均缺損顯效8眼，顯效率15.38％，總有效率78.85％。對照組顯效2眼，顯效率3.58％，總有效率58.93％。治療組視覺誘髮電位（ Visual Evoked Poten-tial，F-VEP） P100波潛伏期顯效8眼，顯效率15.38％，總有效率76.92％。對照組顯效3眼，顯效率5.36％，總有效率58.93％。2組比較，視力、視野平均缺損和F-VEP P100波潛伏期的總有效率差異均無統計學意義（P＞0.05），顯效率差異均有統計學意義（ P＜0.05）。結論：明目複元湯聯閤中藥穴位貼敷對于提高視神經萎縮患者視力、減小視野平均缺損、縮短F-VEP P100波潛伏期均有一定療效。
목적：관찰명목복원탕연합중약혈위첩부치료시신경위축환자적림상료효。방법：안수궤수자표법장부합표준적74례환자（108안）분위치료조화대조조，기중치료조38례（52안），대조조36례（56안），치료조여이구복명목복원탕급환측태양혈첩부중약약고치료，대조조채용곡극호정、기감、선감고알、포린담감화유생소B1치료。결과：치료조시력현효9안，현효솔17.31％，총유효솔75.00％。대조조현효3안，현효솔5.36％，총유효솔60.71％。치료조시야평균결손현효8안，현효솔15.38％，총유효솔78.85％。대조조현효2안，현효솔3.58％，총유효솔58.93％。치료조시각유발전위（ Visual Evoked Poten-tial，F-VEP） P100파잠복기현효8안，현효솔15.38％，총유효솔76.92％。대조조현효3안，현효솔5.36％，총유효솔58.93％。2조비교，시력、시야평균결손화F-VEP P100파잠복기적총유효솔차이균무통계학의의（P＞0.05），현효솔차이균유통계학의의（ P＜0.05）。결론：명목복원탕연합중약혈위첩부대우제고시신경위축환자시력、감소시야평균결손、축단F-VEP P100파잠복기균유일정료효。
Objective:To observe the clinical curative effect of eyesight rehabilitation decoction combined with traditional Chinese medi -cine acupoint application in treatment of patients with optic atrophy .Methods:A total of 74 cases patients (108 eye) were divided into observation group and against group according to random digital table :observation group 38 cases (52 eye), control group 36 cases (56 eye).Observation group received oral eyesight recovery decoction and Chinese medicine ointment treatment on the temple that is on the same side with the diseased eye .Control group used troxerutin , muscle glycoside, cobamamide, citicoline, and vitamin B1 treatment. Results:A total of 9 patients in the observation group showed significant improvements , demonstrating 17.31% efficiency, total effec-tive rate being 75.00 %.Control group had effects on 3 eyes, demonstrating 5.36 %efficiency, total effective rate being 60.71%.In the observation group, 8 cases showed improvements on vision defects , demonstrating 15.38%efficiency, with total effective rate being 78.85 %.Control group had improvements on 2 eyes, showing 3.58%efficiency, with total effective rate being 58.93%.In the ob-servation group, F-VEP P100 wave incubation period was effective on 8 eyes, 15.38%efficiency, with total effective rate being 76.92%.Control group had an effect on 3 eyes, 5.36 %efficiency, with total effective rate being 58.93%.The two groups showed no sig-nificant difference in terms of eyesight , vision defect and F-VEP P100 wave incubation period (P>0.05), while differences of efficacy was significant (P<0.05).Conclusion:Eyesight recovery decoction combined with TCM acupoint application is effective in improving vision in patients with optic nerve atrophy .It generally reduces field of vision defects , and shorten F-VEP P100 wave incubation period .
