CAJ | 학술논문

目的：评价中医治疗不同病因视神经萎缩（OA）的效果。方法将243例（415只眼）OA患者按病因分类，并对中医综合治疗的效果进行评估。结果经中医综合治疗后视力改善193只眼，整体有效率为46.5%。前部缺血性视神经病变（AION）有效率最高为68.8%，其他病因OA的有效率依次为Leber遗传性视神经病变（LHON）61.4%，视神经炎53.0%，视网膜色素变性40.9%，青光眼40.0%，视网膜动脉阻塞40.0%、不明原因性38.7%、药物中毒37.5%、外伤32.3%、其他25.0%、肿瘤压迫23.1%。结论中医方法治疗OA有效，其中AION、LHON、视神经炎性OA有效率均超过50%，疗效相对较好。
목적：평개중의치료불동병인시신경위축（OA）적효과。방법장243례（415지안）OA환자안병인분류，병대중의종합치료적효과진행평고。결과경중의종합치료후시력개선193지안，정체유효솔위46.5%。전부결혈성시신경병변（AION）유효솔최고위68.8%，기타병인OA적유효솔의차위Leber유전성시신경병변（LHON）61.4%，시신경염53.0%，시망막색소변성40.9%，청광안40.0%，시망막동맥조새40.0%、불명원인성38.7%、약물중독37.5%、외상32.3%、기타25.0%、종류압박23.1%。결론중의방법치료OA유효，기중AION、LHON、시신경염성OA유효솔균초과50%，료효상대교호。
OBJECTIVE To evaluate effects on optic atrophy (OA) of different causes by traditional Chinese medicine treatment. METHODS According to the data of etiology classification of 243 OA patients with 415 eyes, the effect of comprehensive treatment of traditional Chinese medicine (TCM) was evaluated. RESULTS After treat-ment with TCM, visions of 193 eyes were improved, and effective rate was 46.5%. Anterior ischemic optic neuropathy (AION), effective rate was 68.8%, followed by Leber’s hereditary optic neuropathy (LHON), optic nerve inflamma-tory, retinitis pigmentosa, glaucoma, retinal artery obstruction, effective rate was 61.4%, 53.0%, 40.9%, 40%, and 40% respectively. Unknown reason, drug intoxication, trauma, other, the tumor oppression were 38.7%, 37.5%, 32.3%, 25.0%, and 23.1%respectively. CONCLUSIONS TCM treatment for OA was effective, and AION, LHON, optic inflammatory OA were the most effective.