益气活血利水方对白内障术后黄斑水肿的疗效

发布时间：2018-05-20 04:11

本文选题：益气活血利水方 + 白内障　；参考：《中药药理与临床》2017年02期

【摘要】：目的:探讨益气活血利水方剂对白内障手术后并发黄斑水肿的治疗效果。方法:选取2015年1月至2015年12月在我院眼科接受白内障手术治疗后并发黄斑水肿的76例(84眼)患者进行临床研究,采用抛掷硬币随机分为中西医组(治疗组)38例(41眼)、西医组(对照组)38例(43眼),两组均给予基础治疗,治疗组同时服用自拟益气活血利水方剂治疗30天。结果:治疗后,治疗组视力在0.50~0.80和大于0.80的患者比例为(56.10%和19.51%),均高于对照组(44.19%和4.65%)。治疗组治疗20天、30天后黄斑中心凹厚度分别为(221.4±30.2和197.1±27.8)μm,均低于对照组(246.3±34.5和226.9±31.4)μm。治疗后,治疗组的眼压为(14.67±1.65)mm Hg,和对照组(14.80±1.69)mm Hg比,差异不具有统计学意义。治疗组的总有效率为95.12%,高于对照组的79.07%,差异具有统计学意义。结论:自拟益气活血利水方剂对白内障手术后并发黄斑水肿进行辅助治疗,能够提高患者的视力及降低黄斑水肿程度。
[Abstract]:Objective: to investigate the therapeutic effect of Yiqi Huoxue Lishui recipe on macular edema after cataract surgery. Methods: from January 2015 to December 2015, 76 patients (84 eyes) with macular edema after cataract surgery in our hospital were selected for clinical study. The patients in the treatment group were randomly divided into two groups: the treatment group (38 cases, 41 eyes) and the western group (control group, 38 cases, 43 eyes). Both groups were given basic treatment, and the treatment group was treated with self-made prescription of invigorating qi, activating blood circulation and promoting water for 30 days. Results: after treatment, the proportion of visual acuity of the treatment group was 56.10% and 19.51%, which was higher than that of the control group (44.19% and 4.65%). The thickness of macular fovea in the treatment group was 221.4 卤30.2 and 197.1 卤27.8 渭 m after 20 days and 30 days, respectively, which was lower than that in the control group (246.3 卤34.5 and 226.9 卤31.4) 渭 m. After treatment, the IOP of the treatment group was 14.67 卤1.65)mm Hg, which was not significantly different from that of the control group (14.80 卤1.69)mm Hg). The total effective rate of treatment group was 95.12, higher than that of control group 79.07, the difference was statistically significant. Conclusion: the self-made prescription of Yiqi Huoxue Lishui can improve the visual acuity and reduce the degree of macular edema after cataract surgery.
【作者单位】：武汉市中西医结合医院;
【基金】：武汉市卫计委科研基金项目,项目编号WX14B05
【分类号】：R276.7

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