中西医结合治疗外伤性视神经萎缩疗效探讨.docVIP

中西医结合治疗外伤性视神经萎缩疗效探讨 　　[摘要]目的探讨用胞二磷胆碱联合加味补阳还五汤治疗外伤性视神经萎缩的疗效。方法 选择有气虚血瘀证的外伤性视神经萎缩者49例52眼,随机分为对照组和治疗组,对照组24例26眼采用西医常规治疗,治疗组25例27眼用胞二磷胆碱联合加味补阳还五汤治疗,对视力、中心视野及图形视觉诱发电位(pattern-VEP)进行观察和对比。结果治疗后各观察指标治疗组均比对照组有显著性改善。结论有气虚血瘀证的外伤性视神经萎缩者用胞二磷胆碱联合加味补阳还五汤治疗效果较好。 　　[关键词]外伤性视神经萎缩;胞二磷胆碱;加味补阳还五汤 　　[中图分类号]R774.6+3[文献标识码]A [文章编号] 1005-0515(2010)-7-057-01 　　 　　Probing Into Curative Effect On Integrated Treatment Of Traumatic Optic Atrophy 　　With Traditional and Western Medicine 　　ZHAO Hu-cheng ,WANG Jian 　　(Peoples Hospital of Mian Yang City, Mianyang , Sichuan Province, 621000 ,China) 　　[Abstract]ObjectiveTo probe into curative effect on integrated treatment of traumatic optic atrophy by employing Citicoline and Buyang Huanwu Tang with the addition of some Chinese medicines. MethodsThe selected 49 patients, being ill with traumatic optic atrophy of 52 eyes as well as deficiencyofqiandbloodstasis, are randomized into acontrol group, which has 24 patients with 26 suffering eyes who are treated routinely by employing western medicine, and a treatment group, which has 25 patients with 27 suffering eyes who are treated by employing Citicoline and Buyang Huanwu Tang with the addition of some Chinese medicines. The visual acuity, centre visual field and pattern-VEP of two group patients are observed and contrasted. Results After treatment, the treatment group shows more marked improvement than the control group on all observed and contrasted factors. ConclusionThe patients being ill with traumatic optic atrophy as well as deficiencyofqiandbloodstasis can be treated preferably by employing Citicoline and Buyang Huanwu Tang with the addition of some Chinese medicines. 　　[Key words]Traumatic Optic Atrophy, Citicoline, Buyang Huanwu Tang with the addition of some Chinese medicines 　　 　　由外伤引起的视神经萎缩临床较常见,采用西医常规方法治疗效果较差,我们采用胞二磷胆碱联合加味补阳还五汤治疗,疗效较好,现报告如下。 　　1 ??料与方法 　　1.1 材料 　　1.1.1 病例选择全部病例均为我院眼科门诊患者,有视神经萎缩的典型表现:矫正视力差,视力≥0.05～≤0.7;视野改变;眼底改变特别是视神经的颜色、形态改变;有明确的眼或头面部外伤史。全部病例均排除了高血压、糖尿病及心、肝