CAJ | 학술논문

目的：探讨中西医结合治疗原发性视网膜色素变性的临床效果。方法选择本院2010年2月~2014年2月收治的符合诊断、纳入标准的100例(200眼)视网膜色素变性患者，随机分为观察组和对照组，每组各50例。对照组采用复方芦丁C+维生素A+维生素B1，观察组在此基础上采用中药自拟方治疗，观察两组患者的全身和眼部症状、视力、临床疗效等。结果观察组的总有效率为94.0%，高于对照组的80.0%(P<0.05)；两组治疗后的视力水平明显提高，与治疗前比较差异均有统计学意义(P<0.05)，观察组治疗后的视力水平明显高于对照组(P<0.05)。结论中西医结合治疗原发性视网膜色素变性能够延缓或控制病情，提升视力，改善视功能，值得临床推广应用。
목적：탐토중서의결합치료원발성시망막색소변성적림상효과。방법선택본원2010년2월~2014년2월수치적부합진단、납입표준적100례(200안)시망막색소변성환자，수궤분위관찰조화대조조，매조각50례。대조조채용복방호정C+유생소A+유생소B1，관찰조재차기출상채용중약자의방치료，관찰량조환자적전신화안부증상、시력、림상료효등。결과관찰조적총유효솔위94.0%，고우대조조적80.0%(P<0.05)；량조치료후적시력수평명현제고，여치료전비교차이균유통계학의의(P<0.05)，관찰조치료후적시력수평명현고우대조조(P<0.05)。결론중서의결합치료원발성시망막색소변성능구연완혹공제병정，제승시력，개선시공능，치득림상추엄응용。
Objective To investigate the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of primary retinitis pigmentosa. Methods 100 patients (200 eyes) with retinitis pigmentosa meeting the diag-nostic inclusion criteria who were admitted to our hospital from February 2010 to February 2014 were selected and randomly divided into the observation group and the control group,with 50 patients in each group.The control group re-ceived compound rutin C+vitamin A+vitamin B1,on the basis of which the observation group received additional tradi-tional Chinese medicine self-designed prescription treatment.The whole body and ocular symptoms,vision and clinical efficacy of the two groups were observed. Results The total effective rate of the observation group (94.0%) was higher than that of the control group (80.0%) (P<0.05).The visual level of both groups improved significantly after treatment and had statistically significant difference to the visual level compared with before treatment (P<0.05).After treatment, the visual level of the observation group was significantly higher than that in the control group (P<0.05). Conclusion In the treatment of primary retinitis pigmentosa,integrated traditional Chinese and western medicine can delay or control disease,improve vision and promote visual function,thereby it is worthy of clinical promotion and application.