中医药联合西药治疗Ц型糖尿病性白内障术后炎性反应的临床疗效观察.docxVIP

学海无涯苦作舟! 学海无涯苦作舟! 中文摘要 目的：观察中药方剂（除风益损汤加减）联合西药治疗 2型糖尿病合并白内障术后眼前 段并发症的疗效。 方法：2型糖尿病合并白内障术后眼前段并发症患者 41例44只眼，按就诊时间的先后 随机分配分组治疗，治疗组21例23只眼应用中药方剂（除风益损汤加减）配合 西医治疗，对照组20例21只眼采用单纯西医治疗，观察两组疗效。 结果：治疗组和对照组治疗2型糖尿病合并白内障术后眼前段并发症均有显著疗效；两 组治疗5天后疗效有显著性差异，治疗组优于对照组；两组治疗 5天后在改善痒 涩、疼痛、畏光、流泪等眼刺激症状方面有显著性差异，治疗组优于对照组；两 组治疗5天后视力改善有显著性差异，治疗组优于对照组；两组治疗一月后视力 改善有显著性差异，治疗组优于对照组；治疗组和对照组激素治疗总量及激素治 疗时间比较有显著性差异，治疗组激素用量及治疗时间少于对照组。 结论：中药联合治疗组疗效优于对照组，表现在治愈时间短，眼刺激症状减轻时间短， 更好的改善视力等方面，表明结合中药治疗有助于促进2型糖尿病合并白内障术 后眼前段并发症症状减轻，缩短病程，提高视力，并可减少激素用量以减轻其副 作用。 主题词：2型糖尿病/白内障/中医药疗法 除风益损汤/治疗应用 Complicatians of Extracapsular Cataract Exteactian in Type 2 Diabetics With Chinese Medicine Compount and Western Medicine---A Clinical Study Major: Medical Scienee of Eye, Nose and Throat Postgraduate^ un li Tutor: Zhang yousheng Chief Physician ABSTRACT Object:To evaluate clinical effectiveness of Complicatians of Extracapsular Cataract Exteactian in Type 2 Diabetics With Chinese Medicine Compount(Chu Feng Yi Sun Tang) and Western Medicine. Methods:Fort y-one patie nts(44 eyes) were divided ran domly into the treatme nt grope and the contrast grope,twenty-one(23 eyes) patients in the treatment grope and twenty(21 eyes) patients in the other.Patientsin the treaty grope were treated with Chinese medicines (Chu Feng Yi Sun Tang) combined with western medcine. Patients in the contrasted grope were treated with western medci ne simpy.The cli nical therapeutic effective ness was observed in two gropes. ResultsThere was efficient on both treatment grope and control grope in treating bacterial keratitis .Five days later, there was significant deviatian between the two gropes,the treaty grope is better tha n the con trasted one in effect of treati ng and visual and elleviati ng such as tickle, ache,photophobia and lacrimation. ConclusionThe treated grope was better tha n the con trasted grope on shorte ning the time of curing the disease and alleviating symptom. It is indicated that Chinese medicine is adva ntageous in sides of alleviati ng