国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2014年
7期
1206-1208
,共3页
陈超%杨星林%刘筠%王玲
陳超%楊星林%劉筠%王玲
진초%양성림%류균%왕령
特发性全葡萄膜炎%中西医结合%辩证治疗
特髮性全葡萄膜炎%中西醫結閤%辯證治療
특발성전포도막염%중서의결합%변증치료
idiopathic panuveitis%integrated traditional Chinese and western medicine%dialectical therapy
目的：探讨中西医结合辩证治疗特发性全葡萄膜炎的临床疗效。<br> 方法：将47例69眼特发性全葡萄膜炎患者随机分为治疗组和对照组两组,对照组24例33眼用全身及局部糖皮质激素和局部散瞳药物治疗；治疗组23例36眼联合中医辨证治疗,随访12~36mo,分别记录患者治疗前后的视力、治疗效果、并发症及激素副作用的发生。<br> 结果：两组治疗后视力均有提高,但治疗组优于对照组；治疗组较对照组的有效率及治愈率明显提高；治疗组并发性白内障、继发性青光眼的发生率较对照组明显降低；治疗组较对照组中枢兴奋症状、高血压、向心性肥胖的激素副作用明显改善(P<0.05)。<br> 结论：中西医结合辩证治疗特发性全葡萄膜炎比单纯西医治疗有更好的疗效,并且能更好的减轻激素长期应用的副作用,值得在临床推广。
目的：探討中西醫結閤辯證治療特髮性全葡萄膜炎的臨床療效。<br> 方法：將47例69眼特髮性全葡萄膜炎患者隨機分為治療組和對照組兩組,對照組24例33眼用全身及跼部糖皮質激素和跼部散瞳藥物治療；治療組23例36眼聯閤中醫辨證治療,隨訪12~36mo,分彆記錄患者治療前後的視力、治療效果、併髮癥及激素副作用的髮生。<br> 結果：兩組治療後視力均有提高,但治療組優于對照組；治療組較對照組的有效率及治愈率明顯提高；治療組併髮性白內障、繼髮性青光眼的髮生率較對照組明顯降低；治療組較對照組中樞興奮癥狀、高血壓、嚮心性肥胖的激素副作用明顯改善(P<0.05)。<br> 結論：中西醫結閤辯證治療特髮性全葡萄膜炎比單純西醫治療有更好的療效,併且能更好的減輕激素長期應用的副作用,值得在臨床推廣。
목적：탐토중서의결합변증치료특발성전포도막염적림상료효。<br> 방법：장47례69안특발성전포도막염환자수궤분위치료조화대조조량조,대조조24례33안용전신급국부당피질격소화국부산동약물치료；치료조23례36안연합중의변증치료,수방12~36mo,분별기록환자치료전후적시력、치료효과、병발증급격소부작용적발생。<br> 결과：량조치료후시력균유제고,단치료조우우대조조；치료조교대조조적유효솔급치유솔명현제고；치료조병발성백내장、계발성청광안적발생솔교대조조명현강저；치료조교대조조중추흥강증상、고혈압、향심성비반적격소부작용명현개선(P<0.05)。<br> 결론：중서의결합변증치료특발성전포도막염비단순서의치료유경호적료효,병차능경호적감경격소장기응용적부작용,치득재림상추엄。
AlM: To explore the clinical therapeutic effect of the integrated traditional Chinese and Western medicine treatment of idiopathic panuveitis. <br> METHODS: Totally 47 patients ( 69 eyes ) with the idiopathic panuveitis were included in this study, which were randomly divided into control group and treatment group. Twenty-four cases (33 eyes) with the method of Western medicine-glucocorticoid and mydriatic were in control group, while 23 cases (36 eyes) with integrated traditional Chinese and Western medicine were in treatment group. Those patients were followed up 12-36mo, the vision before and after treatment, the therapeutic effects, the complications and the side effects of glucocorticoid were recorded. <br> RESULTS: Both of two groups' vision after treatment were improved, but the vision of treatment group was better than the control group. The effective rate and the cure rate of the treatment group were increased significantly. Of all of the complications, the incidence rate of complicated cataract and secondary glaucoma of the treatment group were reduced significantly. Of all of the side effects of glucocorticoid, the central excitation, hypertension and central obesity of the treatment group were reduced significantly (P<0. 05). <br> CONCLUSlON: Dialectical therapy of integrated traditional Chinese and Western medicine has better therapeutic effect than simple Western medicine treatment of idiopathic panuveitis, and could better reduce the side effect of glucocorticoid long-term use. lt is worthy applying in clinical practice.
