中国中医眼科杂志
中國中醫眼科雜誌
중국중의안과잡지
JOURNAL OF TRADITIONAL CHINESE OPHTHALMOLOGY
2015年
2期
95-97
,共3页
前部缺血性视神经病变%痰瘀同治法%治疗
前部缺血性視神經病變%痰瘀同治法%治療
전부결혈성시신경병변%담어동치법%치료
anterior ischemic optic neuropathy%combined treatment on phlegm and blood stasis%treatment
目的：观察痰瘀同治法治疗前部缺血性视神经病变的临床疗效。方法将57例前部缺血性视神经病变患者随机分为痰瘀同治组31例（31只眼）和活血化瘀组26例（26只眼）。痰瘀同治组内服自拟活血化瘀、化痰祛浊中药煎剂，活血化瘀组内服桃红四物汤。2组均根据兼证进行中药加减，同时给予静脉滴注小牛血去蛋白提取物注射液（爱维治）。治疗30 d后观察疗效。结果痰瘀同治组31只眼，显效24只眼（77.42%），有效3只眼（9.68%），无效4只眼（12.90%），总有效率87.10%；活血化瘀组26只眼，显效11只眼（42.31%），有效8只眼（30.77%），无效7只眼（26.92%），总有效率73.08%。2组疗效不同（Z=-2.509，P=0.012），显效率差异有统计学意义（χ2=7.356，P=0.007）。痰瘀同治组视野平均敏感度改善情况好于活血化瘀组（t=2.307，P=0.0249）。结论痰瘀同治法治疗前部缺血性视神经病变能有效提高视力，改善视野，临床疗效优于活血化瘀法。
目的：觀察痰瘀同治法治療前部缺血性視神經病變的臨床療效。方法將57例前部缺血性視神經病變患者隨機分為痰瘀同治組31例（31隻眼）和活血化瘀組26例（26隻眼）。痰瘀同治組內服自擬活血化瘀、化痰祛濁中藥煎劑，活血化瘀組內服桃紅四物湯。2組均根據兼證進行中藥加減，同時給予靜脈滴註小牛血去蛋白提取物註射液（愛維治）。治療30 d後觀察療效。結果痰瘀同治組31隻眼，顯效24隻眼（77.42%），有效3隻眼（9.68%），無效4隻眼（12.90%），總有效率87.10%；活血化瘀組26隻眼，顯效11隻眼（42.31%），有效8隻眼（30.77%），無效7隻眼（26.92%），總有效率73.08%。2組療效不同（Z=-2.509，P=0.012），顯效率差異有統計學意義（χ2=7.356，P=0.007）。痰瘀同治組視野平均敏感度改善情況好于活血化瘀組（t=2.307，P=0.0249）。結論痰瘀同治法治療前部缺血性視神經病變能有效提高視力，改善視野，臨床療效優于活血化瘀法。
목적：관찰담어동치법치료전부결혈성시신경병변적림상료효。방법장57례전부결혈성시신경병변환자수궤분위담어동치조31례（31지안）화활혈화어조26례（26지안）。담어동치조내복자의활혈화어、화담거탁중약전제，활혈화어조내복도홍사물탕。2조균근거겸증진행중약가감，동시급여정맥적주소우혈거단백제취물주사액（애유치）。치료30 d후관찰료효。결과담어동치조31지안，현효24지안（77.42%），유효3지안（9.68%），무효4지안（12.90%），총유효솔87.10%；활혈화어조26지안，현효11지안（42.31%），유효8지안（30.77%），무효7지안（26.92%），총유효솔73.08%。2조료효불동（Z=-2.509，P=0.012），현효솔차이유통계학의의（χ2=7.356，P=0.007）。담어동치조시야평균민감도개선정황호우활혈화어조（t=2.307，P=0.0249）。결론담어동치법치료전부결혈성시신경병변능유효제고시력，개선시야，림상료효우우활혈화어법。
OBJECTIVE To observe the clinical curative effect of treating both phlegm and blood stasis in treatment of anterior ischemic optic neuropathy. METHODS Fifty-seven patients with anterior ischemic optic neu-ropathy were randomly divided into the phlegm and blood stasis group (31 cases, 31 eyes ) and blood stasis group (26 cases, 26 eyes). Phlegm and blood stasis group was given oral administration of self promoting blood circulation and removing blood stasis, removing Phlegm Decoction, and promoting blood circulation. Removing blood stasis group was given Taohong Siwu decoction. The effects and evidence of Chinese medicine decoction, and intra-venous drip of Deproteinized Calf Blood Extractives In-jection (Actovegin) of 2 groups were measured. Clinical observation on treatment was 30 d. RESULTS The phlegm and blood stasis group, among 31 eyes, 24 eyes were markedly effective (77.42%), 3 eyes effective (9.68%), 4 eye ineffective (12.90%), and the total efficiency rate was 87.10%;blood stasis group, among 26 eyes, 11 eyes were markedly effective (42.31%), 8 eyes effective (30.77%), 7eyes ineffective (26.92%), and the total efficiency rate was 73.08%. The effect of the 2 groups of different (Z=-2.509, P=0.012), effective rate was statistically significant (χ2=7.356, P=0.007). There was statistical significance before and after treatment in the two groups in view of mean light sensitivity differences (t=2.307, P=0.0249). CONCLUSIONS Treating both phlegm and blood stasis of ante-rior ischemic optic neuropathy could effectively improve eyesight, visual field, and the clinical curative effect was superior to that of promoting blood circulation and removing blood stasis.
