中西医结合治疗糖尿病合并眼肌麻痹临床研究  

Clinical Study on Treatment of Diabetic with Ophthalmoplegia with Combination of Traditional Chinese and Western Medicine

作　　者：董洁玉[1] 霍勤[2] 

机构地区：[1]宜昌市中心人民医院,湖北宜昌443000 [2]河南中医学院第一附属医院,河南郑州450000

出　　处：《中医学报》2015年第8期1114-1115,1118,共3页Acta Chinese Medicine

基　　金：河南省科技攻关项目(0223033100)

摘　　要：目的:观察中西医结合治疗糖尿病合并眼肌麻痹的临床疗效。方法:67例(67眼)糖尿病合并眼肌麻痹患者随机分为对照组和治疗组。对照组行肌肉注射维生素B1注射液100 mg,腺苷钴胺注射液1 mg,1次·d-1,连续治疗30 d,辅以改善微循环及营养神经药物。治疗组在对照组基础上,给予加味羌活胜风汤,1剂·d-1,每次200 m L,分早晚两次服用,1周为1个疗程,连续用药4个疗程。比较治疗后两组间的临床疗效以及平均矫正视力、上睑下垂、复视、代偿头位以及第一眼位平均斜视角等眼科检测指标。结果:经过4周治疗后,治疗组的临床疗效显著优于对照组(P<0.05);两组治疗前后平均矫正视力无明显改善(P>0.05);治疗组与对照组经治疗后,上睑下垂、复视、代偿头位以及第一眼位平均斜视角均较治疗前明显改善(P<0.05),治疗组的较对照组改善更明显(P<0.05)。结论:中西医治疗糖尿病合并眼肌麻痹疗效显著,能显著改善患者眼外肌功能。Objective ：To observe the clinical curative effect of combined treatment of diabetic with ophthalmoplegia of traditional Chinese and western medicine. Methods ：67 cases（ 67 eyes） of diabetic ophthalmoplegia were randomly divided into the control group and the integrative medicine group （treatment group）, the control group underwent intramuscular injection of vitamin B1 100rag and cobamamide 1 mg, one time a day, continuously treated 30 days, supplemented microcirculation and neurotrophic drugs. The treatment group added modified Qianghuo Shengfeng Tang on the basis of the control group, one dose per day,200mL every time, taken night and morning, twice daily, and one week for a course, continuous four courses. Compared the clinical efficacy of treatment between the two groups, the detection indicator of ophthalmology of average corrected visual acuity, ptosis, diplopia, compensatory head posture, and the average squint angle on the first eye position. Results：After 4 weeks of treatment, found that the clinical efficacy of the treatment group was sig- nificantly higher than control group （ P 〈 0.05 ） ; the average corrected visual acuity had no significant improvement before and after treatment（P 〉0.05）;the average corrected visual acuity, ptosis, diplopia, compensatory head posture after treatment was significantly improved than before treatment on control group and treatment group （ P 〈 0.05 ）, and the treatment group was significantly improved than the control group（ P 〈 0.05 ）. Conclusion：Diabetic with ophthalmoplegia with combination of traditional Chinese and western medi- cine has good effect, which can significantly improve the function of extraocular muscle.

关 键 词：糖尿病合并眼肌麻痹 中西医结合 羌活胜风汤 

分 类 号：R259.871[医药卫生—中西医结合]