[1]楚智慧 张黎 杨烈莹.复合式小梁切除术联合活血利水中药治疗青光眼42例的疗效观察[J].国际中医中药杂志,2011,33(03):206-209.[doi:10.3760/cma.j.issn.1673-4246.2011.03.005]
　CHU Zhi-hui,ZHANG Li,YANG Lie-ying.Analysis on the treatment of 42 cases of glaucoma with compound trabeculectomy combined with activating blood circulation and promoting diuresis Chinese medicine[J].,2011,33(03):206-209.[doi:10.3760/cma.j.issn.1673-4246.2011.03.005]
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复合式小梁切除术联合活血利水中药治疗青光眼42例的疗效观察

《国际中医中药杂志》[ISSN:1673-4246/CN:CN11-5398/R] 卷: 33 期数: 2011年03期 页码: 206-209 栏目: 临床研究 出版日期: 2011-03-30
Title:
Analysis on the treatment of 42 cases of glaucoma with compound trabeculectomy combined with activating blood circulation and promoting diuresis Chinese medicine
作者:
楚智慧 张黎 杨烈莹
157000 黑龙江省牡丹江医学院附属红旗医院眼科
Author(s):
CHU Zhi-hui;  ZHANG Li;  YANG Lie-ying
Dermatology Dept, the Hongqi hospital of Mudanjiang Medical College, Mudanjiang 157000, China
关键词:
青光眼; 中药; 复合式小梁切除术
Keywords:
Glaucoma; Chinese medicine; Compound trabeculectomy
DOI:
10.3760/cma.j.issn.1673-4246.2011.03.005
文献标志码:
A
摘要:
目的 观察应用复合式小梁切除术联合活血利水中药治疗青光眼的临床疗效。方法 42例青光眼患者按照随机数字表法分为两组各21例，对照组单纯给予复合式小梁切除术治疗；治疗组在行复合式小梁切除术后加服中药治疗。于治疗后定期复查，随访12月。结果 与对照组比较，治疗组术后视力明显增高（χ2＝4.511，P＜0.05），眼压降低（χ2＝3.638，P＜0.05）；治疗组前房形成情况明显低于对照组（χ2＝4.256，P＜0.05）；两组均有滤过泡形成，且治疗组非功能性滤过泡的发生率明显低于对照组（χ2＝3.054，P＜0.05）。结论 采用复合式小梁切除术联合中药治疗青光眼，疗效优于单纯复合式小梁切除术治疗。
Abstract:
Objective To observe clinical effect of treating glaucoma with compound trabeculectomy combined with activating blood circulation and promoting diuresis Chinese medicine. Methods 42 cases with glaucoma were randomly divided into two groups by means of random number table. The control group was treated with compound trabeculectomy, and the treatment group was treated with Chinese medicine after compound trabeculectomy. The regular reexamination was performed，and follow-up visit was executed for an average of 12 months. Results Compared with the control group, the postoperative vision in the treatment group increased significantly（χ2=4.511, P＜0.05）, and intraocular pressure decreased significantly（χ2=3.638, P＜0.05）; The rate of anterior chamber in the treatment group was lower than that of the control group（χ2=4.256, P＜0.05）. Both groups had filtering bleb, and the rate of non-functional filter blebs in the treatment group was lower than that of the control group（χ2=3.054, P＜0.05）. Conclusion The therapy of compound trabeculectomy combined with Chinese medicine on glaucoma was better than compound trabeculectomy only.

参考文献/References:

［1］ 魏为，彭清华. 青光眼的药物治疗进展. 湖南中医学院学报，2004，24（1）：64-65.
［2］ 中华医学会眼科学分会青光眼学组. 我国原发性青光眼诊断和治疗专家共识. 中华眼科杂志，2008，44（9）：862-863.
［3］ 周文炳. 临床青光眼. 北京：人民卫生出版社，2000：469-469.
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