中西医治疗120例玻璃体混浊临床探究.docVIP

中西医治疗120例玻璃体混浊临床探究 　中西医治疗120例玻璃体混浊临床研究 　摘要：目的：观察石斛夜光丸联合氨碘肽滴眼液治疗玻璃体变性混浊的临床疗效。方法：将眼科门诊患者随机分为治疗组120人167眼，对照组100例151眼。治疗组口服石斛夜光丸6g，每天3次，再给予氨碘肽滴眼液滴眼，每天4次；对照组仅给予氨碘肽滴眼液滴眼，氨碘肽滴眼液滴眼，每天4次，两组均以30d为1个疗程，均嘱患者注意用眼卫生，避免用眼过度。结果：1）治疗组总有效率为78.4% ，对照组为49.7%；2）两组组内青年人有效率是84.7%，57.9%，老年人有效率是75.0%，46.9%。结论：1）石斛夜光丸联合氨碘肽滴跟液治疗破璃体变性混浊，疗效优于单纯应用氨碘肽滴眼液；2）石斛夜光丸联合氨碘肽滴跟液治疗破璃体变性混浊对青年人的疗效优于老年人。 　关键词：石斛夜光丸；氨碘肽滴眼液；玻璃体混浊 ；中西医治疗 　英文摘要：object：observed the ammonia opacity of vitreous degeneration clinical efficacy of Dendrobium luminous Pill and peptide iodine eye drops. Methods: All the patients were randomly divided into the treatment group 120 167 eyes, 100 cases of control group 151 eyes. The treatment group oral Dendrobium luminous Pill 6 g，three times every day,and gave ammonia iodine peptide eye drops the four times a day; Control group was limited to ammonia iodine peptide eye drops eye four times a day. Both groups to 30 d for a period of treatment. We told patients paid attention towith eye sanitation and avoid attention with the eyes too much. Results: 1) the total effective rate was 78.4% in treatment group and 49.7% in control group; 2) within two groups,the young people effective rate was 84.7%，57.9% ,old people is 75.0%，46.9%. Conclusion: 1) The clinical efficacy of Dendrobium luminous Pill and liquid ammonia iodine peptide drops is better than pure application effect of ammonia iodine peptide eye drops; 2) The clinical efficacy of Dendrobium luminous Pill and liquid ammonia iodine peptide drops to young people is better than the old. 　key words：Dendrobium luminous Pill; Ammonia iodine peptide eye drops ； vitreous opacity of traditional Chinese and western medicine treatment 　 　玻璃体浑浊一般多发于老龄阶段，然而随着社会竞争的日益激烈以及现代生活不良方式的增多，导致人们用眼过度，使此病逐渐呈年轻化发展趋势，由于疾病是慢性进展的，人们没有引起足够重视，最后失明了才就诊。可是西医治疗玻璃体变性混浊，尤其是近视性玻璃体变性混浊，多使用碘剂、酶剂，疗效不理想。我们通过3年的临床观察和研究，体会到眼科治疗玻璃体浑浊，引入祖国医学的概念，结合疾患的病因病机，连续使用石斛夜光丸和氨碘肽滴眼液，可以有效控制玻璃体混浊，使视力和视物清晰感好转，增强患者的治疗信心，提高患者的生活质量。现报道如下： 　1资料与方法 　1.1一般资料 　收集2009年1月～2011年1月在我院门诊就诊的玻璃体变性混浊患者