益气养阴开窍法治疗青光眼的临床效果观察.docVIP

益气养阴开窍法治疗青光眼的临床效果观察 　　[摘要] 目的 探讨益气养阴开窍法治疗青光眼的临床效果。 方法 选取2012年10月～2013年10月本院收治的100例（119眼）青光眼患者，将其随机分为观察组和对照组，每组各50例，对照组采用毛果芸香碱滴眼液（1%～2%）点眼，1～2滴/次，3～4次/d或依病情增加次数；观察组在对照组治疗的基础上加用益气养阴开窍法，水煎服，1剂/d，早晚分2次服用，60 d为1个疗程，共治疗2个疗程。比较两组的临床疗效，观察两组患者治疗前后眼压、视力、视野的变化。 结果 观察组的总有效率为90%，对照组为72%，观察组的总有效率高于对照组，差异有统计学意义（P0.05）。观察组治疗后眼压、视力与治疗前比较，差异有统计学意义（P0.05）；对照组治疗后眼压与治疗前比较，差异有统计学意义（P0.05）；观察组治疗后视力与对照组比较差异有统计学意义（P0.05）。两组治疗后视敏度、缺损异度与治疗前比较，差异有统计学意义（P0.05）；观察组治疗后视敏度、缺损异度与对照组比较，差异有统计学意义（P0.05）。 结论 益气养阴开窍法治疗青光眼的效果确切，可有效保护视神经，提高青光眼视功能。 　　[关键词] 青光眼；益气养阴开窍法；毛果芸香碱滴眼液 　　[中图分类号] R755 [文献标识码] A [文章编号] 1674-4721（2014）08（a）-0103-03 　　Clinical efficacy observation of Yiqiyangyinkaiqiao method treatment of glaucoma 　　WANG Feng 　　Dengzhou Health School of Henan Province，Dengzhou 474150，China 　　[Abstract] Objective To investigate the clinical effects of resuscitation Yiqiyangyinkaiqiao treatment of glaucoma. Methods 100 cases （119 eyes） of patients with glaucoma treated in our hospital from October 2012 to October 2013 were selected and randomly divided into observation group and control group，50 cases in each group，pilocarpine nitrate eye drops （1%-2%） was given to the control group，1 to 2 drops one time，3 to 4 times a day or increased the times depending on the disease condition， Yiqiyangyinkaiqiao resuscitation was added to the observation group based on the control group，one a day，twice taken at morning and night，60 days for a course of treatment，all patients were taken two courses.The clinical efficacy of the two groups was compared，intraocular pressure，visual acuity，field of vision were observed before and after treatment. Results The total effective rate of observation group was 90% and was 72% of the control group，the total effective rate of the observation group was higher than that of the control group，the difference was statistically significant （P 　　[Key words] Glaucoma；Yiqiyangyinkaiqiao method；Pilocarpine nitrate eye drops 　　青光眼是由于病理性间断或持续高眼压而引起神经乳头损害和视野缺损，甚至导致失明的一种眼病，是常见的不可逆性致盲