益气养阴活血利水中药复方对视网膜脱离术后患者视功能改善作用的多中心临床研究

发布时间：2018-03-02 23:25

本文选题：视网膜脱离　切入点：益气养阴　出处：《中华中医药杂志》2017年04期 　论文类型：期刊论文

【摘要】：目的:观察益气养阴活血利水中药复方对视网膜脱离复位术后患者视功能改善的临床疗效。方法:将786例视网膜脱离复位术后的患者,随机分为中药复方组、益脉康组和常规组。各组术后第2周开始分别服用益气养阴活血利水中药复方、益脉康片,常规疗法对照组不另服药。观察3组患者视力、眼底、视网膜电图变化情况及平均随访1.32年后视力和网脱复发情况。结果:治疗后,中药复方组视力改善、眼底情况的总有效率为89.6%、暗适应和明适应ERG a,b波振幅及治疗前后振幅的差值均优于益脉康片组及常规组(P0.05,P0.01)。随访1年以上发现,中药复方组视力恢复情况优于其他两组(P0.05,P0.01)。结论:益气养阴活血利水中药复方能促进视网膜复位术后患者网膜下液体的吸收,促进脱离视网膜的复位,改善视网膜电图,改善患者视功能。
[Abstract]:Objective: to observe the clinical effect of traditional Chinese medicine recipe for supplementing qi, nourishing yin, activating blood circulation and promoting water on the improvement of visual function in patients with retinal detachment after reattachment. Methods: 786 patients after retinal detachment reattachment were randomly divided into two groups. Yimaikang group and routine group. From the second week after operation, each group was given the compound Chinese medicine, Yimaikang tablet, and routine therapy control group. The visual acuity and the fundus of the eyes were observed in the three groups. The changes of electroretinogram and the visual acuity and recrudescence after an average follow-up of 1.32 years. Results: after treatment, the visual acuity of the traditional Chinese medicine compound group was improved. The total effective rate of the fundus condition was 89.6. The difference between the amplitude of dark adaptation and light adaptation of ERG a b wave and the amplitude before and after treatment was better than that of the group of Yimaikang tablets and the routine group (P 0.05 and P 0.01). The recovery of visual acuity in the traditional Chinese medicine compound group was better than that in the other two groups. Conclusion: the prescription of supplementing qi, nourishing yin, activating blood circulation and promoting water supply can promote the absorption of subretinal fluid, promote the reattachment of retinal detachment and improve the electroretinogram of the patients after retinal reattachment. Improve the visual function of patients.
【作者单位】：湖南中医药大学第一附属医院国家眼底病中医医疗中心;陕西省西安中医医院;广西中医药大学附属瑞康医院;湖南省人民医院;湖南旺旺医院眼科中心;长沙市星沙人民医院;
【基金】：湖南省高层次卫生人才“225”工程培养项目资助湖南省自然科学基金资助项目(No.06JJ50056) 湖南省教育厅科研基金资助课题(No.98B078,No.06A052) 国家中医临床重点专科建设项目国家中医药管理局中医眼科学重点学科建设项目湖南省中医五官科学重点学科建设项目~~
【分类号】：R779.6

【相似文献】