祛火明目合剂联合甲钴胺对青光眼术后视神经功能的影响

发布时间：2018-07-27 14:42

【摘要】：目的观察祛火明目合剂联合甲钴胺对青光眼术后视神经功能的影响。方法该院82例120眼青光眼术后眼压已控制的原发性青光眼患者,按随机数字表法分为对照组41例58眼和联合组41例62眼。两组均予甲钴胺0.5mg,每日2次,连用4周;联合组加用祛火明目合剂。结果联合组总有效率(83.9%,52/62)高于对照组(63.8%,37/5 8),盘沿面积、视网膜神经纤维层厚度大于对照组,图形视觉诱发电位潜伏期、杯盘比低于对照组,差异均有统计学意义。结论自拟祛火明目合剂联合甲钴胺用于青光眼术后,能显著改善患者的视神经功能,修复视网膜神经纤维。
[Abstract]:Objective to observe the effect of Quhuo Mingmu mixture combined with mecobalamin on optic nerve function after glaucoma surgery. Methods 82 cases (120 eyes) of primary glaucoma with controlled IOP were randomly divided into control group (41 cases, 58 eyes) and combined group (41 cases, 62 eyes). Both groups were given mecobalamin 0.5 mg twice a day for 4 weeks and combined group with Quhuo Mingmu mixture. Results the total effective rate of the combined group (83.9% 62) was higher than that of the control group (63.8% / 58). The area along the disc, the thickness of the retinal nerve fiber layer were larger than those of the control group, the latent period of visual evoked potential (VEP) and the ratio of cup to disc were lower than those of the control group (P < 0.05). Conclusion Self-made Quhuo Mingmu mixture combined with mecobalamin can significantly improve the optic nerve function and repair retinal nerve fibers after glaucoma surgery.
【作者单位】：浙江宁海县城关医院眼科;宁海县第一医院眼科;
【分类号】：R779.6

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