中医综合疗法防治青光眼视神经损害的临床观察

发布时间：2018-09-06 11:21

【摘要】：目的： 通过回顾性病例总结,观察探讨中医综合疗法对眼压控制后的青光眼的视神经保护作用,分析中医证型规律。 方法： 以中国中医科学院眼科医院1997年-2010年门诊及住院的原发性开角型青光眼及原发性慢性闭角型青光眼患者为研究对象,总结病例共83例(164眼),其中中药治疗观察组病例49例(97眼)。对照组病例34例(67眼)。对比中药治疗观察组与对照组治疗前后视力及视野的改变,总结中药治疗观察组的证型分类及各证型之间治疗前后视力及视野的改变。 结果： 1.视野变化。 中药治疗观察组中好转18眼,稳定75眼,恶化4眼。对照组好转3眼,稳定51眼,恶化13眼。2组差异具有显著性意义(P0.01)。 观察组中肝肾不足病例29例57眼,好转10眼,稳定44眼,恶化3眼,气虚血瘀病例15例30眼,好转6眼,稳定23眼,恶化1眼,肝郁气滞病例5例10眼,好转2眼,稳定8眼,恶化0眼。 2.视力变化： 中药治疗观察组中视力提高≥2行10眼,视力下降≥2行3眼,介于其间84眼。对照组视力提高≥2行6眼,视力下降≥2行6眼,介于其间55眼。2组差异无统计学意义(P0.05)。 观察组中肝肾不足病例29例57眼,好转7眼,稳定49眼,恶化1眼,气虚血瘀病例15例30眼,好转3眼,稳定27眼,恶化0眼,肝郁气滞病例5例10眼,好转0眼,稳定8眼,恶化2眼。 结论： 中医辨证治疗对眼压控制的青光眼患者的视野扩大有显著意义,具有保护视神经的功能。
[Abstract]:Objective: to investigate the protective effect of TCM combined therapy on the optic nerve after intraocular pressure control (IOP), and to analyze the pattern of TCM syndrome. Methods: primary open angle glaucoma and primary chronic angle closure glaucoma were studied in Ophthalmology Hospital of Chinese Academy of traditional Chinese Medicine from 1997 to 2010. A total of 83 cases (164 eyes) were summarized and 49 cases (97 eyes) were treated with traditional Chinese medicine. There were 34 cases (67 eyes) in the control group. The changes of visual acuity and visual field before and after treatment were compared between the observation group and the control group, and the classification of syndromes and the changes of vision and visual field before and after treatment were summarized. Results: 1. A change in vision. In the observation group, 18 eyes were improved, 75 eyes were stable and 4 eyes were worse. In the control group, 3 eyes improved, 51 eyes stabilized and 13 eyes deteriorated, the difference was significant (P0.01). In the observation group, there were 29 cases (57 eyes) with deficiency of liver and kidney, 10 eyes with improvement, 44 eyes with stability, 3 eyes with deterioration, 15 cases with Qi deficiency and 30 eyes with blood stasis, 6 eyes with improvement, 23 eyes with stability, 1 eye with deterioration, 5 cases with liver stagnation and 10 eyes with Qi stagnation, 2 eyes with improvement and 8 eyes with stability. Deterioration: 0 eyes. 2. The change of visual acuity: in the observation group, the visual acuity was improved more than 2 lines in 10 eyes, and decreased in 3 eyes in more than 2 lines, which was between 84 eyes. In the control group, the visual acuity was improved more than 2 lines in 6 eyes and decreased in 鈮，

本文编号：2226195