血府逐瘀汤治疗中心性浆液性脉络膜视网膜病变的临床视察.pdf

提 要 目的：本文通过临床观察，以活血化瘀法治疗中心性浆液性脉络膜视网膜病变(以 下简称“中浆”)的患者，方用血府逐瘀汤，希望达到改善脉络膜血液循环的效果， 有利于患者的视觉功能的恢复。 方法：观察 30 例患者的诱因，眼底血管荧光造影特点，随机分为中药组与激光 组，中药组予服用血府逐瘀汤治疗，每日一剂，连续服用 30 天；激光组予激光光凝 治疗，分别观察治疗前后两组的视力分布，及治疗后的症状体征，统计疗效积分并比 较；观察比较中药组治疗前后的血液流变情况。 结果：中药组的总有效率93.3%，治愈53.3%，好转40%，未愈6.67%。中药组治 疗前后的视力有显著差异(P＜0.01)；治疗前后的血液粘度明显降低(P＜0.05)；中药 组的总有效率与激光组对比，无明显差异(P＞0.05)，但治愈率较激光组高，治疗后 视力对比亦无明显差异(P＞0.05)。 结论：血府逐瘀汤治疗中浆，患者视力提高明显，症状体征都有改善，血液流变 水平下降，达到了预期目的，说明活血化瘀治疗中浆的方法可行，推测可能与血府逐 瘀汤能改善脉络膜的血液循环有关。 关键词 中心性浆液性脉络膜视网膜病变；血府逐瘀汤；脉络膜血液循环 Xuefu Zhuyu Decoction in the treatment of Central Serous Chorioretinopathy clinical observation speciality : ophthalmology of observation Author:Zhu Xi Tutor:Prof Yu Wen Zhou Abstract Objective:In this paper, through the clinical observation , we cure central serous chorioretinopathy by promoting blood circulation and removing blood stasis,with Xuefu Zhuyu Decoction, to achieve purpose of Improving choroidal blood circulation and Contributing to recovery of visual function in patients.Methods:We observde the outbreak inducements and Fundus fluoresce in angiography characteristics from 30 cases,and randomly divided them into two groups——the traditional Chinese medicine group and the laser group.Patients in the traditional Chinese medicine group take Xuefu Zhuyu Decoction,a dose of medicine,30 days continuously.The two groups were observed the vision distribution and the symptoms and signs before and after treatment.Then we statistical treatment of integral and compare them.The blood rheologica