中西医结合治疗肝火炽盛型H SK的临床疗效观察

发布时间：2018-04-19 11:21

  本文选题：中西医结合疗法 + 肝火炽盛型　； 参考：《江西中医药》2016年11期

【摘要】：目的:观察中西医结合疗法对肝火炽盛型单纯疱疹病毒性角膜炎(SH K)的疗效。方法:40例(70眼)中医证型属肝火炽盛型单纯疱疹病毒性角膜炎患者,按随机数字表方法随机分为西药治疗组20例(35眼)和中西医结合治疗组20例(35眼)。西药治疗组采用阿昔洛韦眼膏涂患眼,bid;阿昔洛韦滴眼液点患眼,q2h;中西医结合治疗组则在西药治疗组的基础上,运用龙胆泻肝汤加减,每日一剂,水煎200m L,分早晚两次服用;分3个疗程,2周为1个疗程,共治疗6周3个疗程,疗程结束后3个月随访。结果:中西医结合治疗组总有效率94.11%、西药治疗组总有效率88.23%,两组比较差异有统计学意义(P0.05)。3个月后中西医结合治疗组复发率为8.82%,西药治疗组复发率为17.64%,两组间比较差异有统计学意义(P0.05)。结论:中西医结合疗法是治疗肝火炽盛型单纯疱疹病毒性角膜炎的首选,具有显著疗效,是很值得我们在临床上推广的治疗方案。
[Abstract]:Objective: to observe the therapeutic effect of combined traditional Chinese and western medicine on herpes simplex keratitis (HSK).Methods 40 cases (70 eyes) were randomly divided into western medicine treatment group (20 cases, 35 eyes) and integrated traditional Chinese and western medicine group (20 cases, 35 eyes).The western medicine group was treated with acyclovir ointment, acyclovir eye drops, eye drops, Q2h, and the treatment group, on the basis of western medicine treatment group, Gentian Xiegan decoction was used, once a day, water decoction 200ml, twice in the morning and evening.It was divided into 3 courses and 2 weeks as a course of treatment, 6 weeks and 3 courses of treatment, followed up for 3 months after the end of the course of treatment.Results: the total effective rate was 94.11 in the integrated Chinese and western medicine group and 88.23 in the western medicine treatment group. The difference between the two groups was statistically significant (P 0.05). After 3 months, the recurrence rate of the treatment group was 8.82, and the recurrence rate of the western medicine treatment group was 17.64. The comparison between the two groups was made.The difference was statistically significant (P 0.05).Conclusion: the combination of traditional Chinese and western medicine is the first choice in the treatment of herpes simplex keratitis with liver fire, which is worth popularizing in clinic.
【作者单位】： 江西中医药大学附属医院眼科;
【分类号】：R772.21
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本文编号：1772886