益气明目丸联合西药治疗前段缺血性视神经病变24例疗效观察

发布时间：2018-04-03 06:52

本文选题：前段缺血性视神经病变　切入点：益气明目丸　出处：《中医杂志》2015年03期

【摘要】：目的观察益气明目丸联合西药治疗脾胃气虚型前段缺血性视神经病变的临床疗效。方法收集前段缺血性视神经病变脾胃气虚型患者24例(25只眼),口服益气明目丸,每次9 g,每日3次。同时配合维生素B120 mg、甲钴胺片500μg,每日3次。2周为1个疗程,共治疗4个疗程。检测治疗前后患者的视力、视野、眼底及眼底荧光血管造影术(FFA)变化,判定视力疗效和中医证候疗效。结果 24例患者25只眼中视力疗效总有效21只眼(84%);中医证候疗效总有效22只眼(88%)。治疗后视力、视野平均光敏感度均较治疗前明显升高(P0.01)。治疗后21只眼(84%)眼底改善。17例(18只眼)行FFA检查者治疗后视盘荧光充盈迟缓明显低于治疗前(P0.05)。结论益气明目丸联合西药治疗脾胃气虚型前段缺血性视神经病变能明显改善视功能。
[Abstract]:Objective to observe the clinical effect of Yiqi Mingmu pill combined with western medicine on anterior ischemic optic neuropathy of deficiency of spleen and stomach qi.Methods Twenty-five eyes of 24 patients with anterior ischemic optic neuropathy with deficiency of spleen and stomach qi were treated with Yiqi Mingmu pills for 9 g, 3 times a day.At the same time, vitamin B1 20 mg, mecobalamin 500 渭 g, twice a day for 2 weeks as a course of treatment, a total of 4 courses of treatment.The changes of visual acuity, visual field, fundus and fundus fluorescein angiography (FFAA) were measured before and after treatment.Results the visual acuity of 25 eyes of 24 patients was effective in 21 eyes and the curative effect of TCM syndrome was effective in 22 eyes.The visual acuity and visual field mean light sensitivity after treatment were significantly higher than those before treatment (P 0.01).After treatment, 21 eyes with fundus improvement (17 cases with 18 eyes) were treated with FFA. After treatment, the fluorescence filling retardation of optic disc was significantly lower than that before treatment (P 0.05).Conclusion Yiqi Mingmu pills combined with western medicine can significantly improve visual function in the treatment of anterior ischemic optic neuropathy of spleen and stomach qi deficiency type.
【作者单位】：湖南省中医药大学第一附属医院;
【基金】：全国名老中医药专家传承工作室建设项目
【分类号】：R774.6

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