眼眶骨折围手术期中药离子导入的疗效分析  

Clinical analysis on iontophoresis of traditional Chinese medicine for perioperative orbital fracture

作　　者：张沧霞[1] 郑艳霞[1] 王义军[1] 王庆金[1] 孟辉[1] 黄明[1] 

机构地区：[1]河北医科大学沧州中西医结合临床医学院,沧州061001

出　　处：《中国中医眼科杂志》2015年第5期359-362,共4页China Journal of Chinese Ophthalmology

基　　金：河北省中医药管理局基金项目(2014124)

摘　　要：目的探讨在眼眶骨折围手术期应用中药离子导入治疗的临床疗效。方法收集我院手术治疗的眼眶骨折患者106例(108眼),随机分为2组:对照组56例(56眼),对症治疗并应用维生素B1及甲钴胺片口服,术后予甘露醇及地塞米松静脉点滴3天;治疗组50例(52眼),对症治疗及口服药同对照组,并于术前及术后3天后加用中药离子导入2次/d,至术后2周。于术后1周复查眼眶CT,术后1周、2周记录视力、同视机、复视像的检查结果并综合评判疗效。结果术后1周两组总有效率比较,治疗组总有效率90.38%,对照组总有效率92.86%,两组差异无统计学意义(P>0.05);术后2周治愈率比较,治疗组治愈率59.62%,对照组治愈率39.29%,两组治愈率比较差异有统计学意义(P<0.05)。结论中药离子导入方法可有效提高眼眶骨折手术的治愈率。OBJECTIVE To explore the effect of iontophoresis with Chinese medicine in perioperative orbital fracture. METHODS One hundred and six orbital fracture cases （108 eyes） were randomly divided into two groups： control group 56 cases （56 eyes） and treatment group 50 cases （52 eyes）.The patients of control group were given symptomatic treatment, vitamin B1 and a cobalt amine oral, mannitol and dexamethasone Intravenous fluids in post- operative. The patients of treatment group were treated by those methods combined with iontophoresis with Chinese medicine in the preoperative and postoperative 3 days until 2 weeks after surgery. Orbital CT on postoperative 1 week, and record vision, diplopia with depending on the machine on 1 week and 2 weeks were reviewed.. RESULTS The total effective rate of control group was 92.86%, higher than the treatment group （90.38%）, there was no signifi- cant difference. After 2 weeks, the cure rate of treatment group was 59.62%,higher than the control group （39.29%）, the difference was statistically significant （P〈0.05）. CONCLUSIONS Iontophoresis with Chinese medicine could obviously improve cure rate of orbital fracture patients.

关 键 词：中医定向透药 眼眶骨折 围手术期 眼肌 斜视 

分 类 号：R777.5[医药卫生—眼科]