中药结合激光治疗视网膜静脉阻塞的临床视察.pdfVIP

提 要 目的：本论文旨在对视网膜静脉阻塞通过临床观察，以中医理论为依据辨证论治 与分期辨证相结合，同时与西医激光治疗相结合，总结其疗效，探讨其病因病机及治 疗原则，为中西医结合治疗本病提供有效方法和研究思路。方法：对 56 例资料完整 的视网膜静脉阻塞患者 56 眼，以补阳还五汤为主方随证加减，分别观察治疗组视网 膜静脉阻塞(RVO)治疗前后的视力、症状、眼底的变化，并与激光对照组比较。结果： 治疗组总体有效率为91.43%，治疗组治疗前后视力、眼底有非常显著性差异（P0.01）, 症状有显著性差异(P0.05)。治疗组与对照组视力、眼底有非常显著性差异(P0.01)， 症状无差异（P0.05）。结论：中医药治疗 RVO，视力恢复良好，病人的症状、体征 有显著性改善，且视力和眼底治疗组的治疗效果要明显好于激光组。中药加激光治疗 RVO，在发挥中药独有优势的基础上，弥补了目前单纯激光治疗的不足，在预防复发、 针对病因治疗、分阶段治疗和预后方面有独特的优势。 关键词 视网膜静脉阻塞；中西医结合；激光； The clinical observation of TCM combined with laser treatment of RVO Speciality: Ophthalmology of TCM Author: Li Jinqi Tutor: Prof. Wang Jingbo Abstract Objectiv: The present paper is for the purpose of looking at each other net interface retinal vein occlusion through the clinical observation, As with dialectical unifies by stages take the Chinese medicine theory based on the diagnosis and treatment, Meanwhile unifies with the doctor practicing western medicine laser treatment, summarizes its curative effect, Discusses its cause of disease pathogenesis and the principle of treatment, Treats this sickness for the cooperation of Chinese and Western medicine to provide the efficacious device and the research mentality.Method: 56 cases of data integrity in patients with retinal vein occlusion 56 to Buyanghuanwu Decoction side with the card-based addition and subtraction, the treatment group were observed in retinal vein occlusion (RVO) of visual acuity before and after treatment, symptoms, fundus changes, and the control group compared with the laser.Finally: The total effective rate of the treated group is 91.43%, the treatme