中西医结合治疗玻璃体积血临床研究  

Combined Traditional Chinese and Western Medicine Treatment of Vitreous Hemorrhage

作　　者：雷洪涛[1] 

机构地区：[1]洛阳市妇女儿童医疗保健中心,河南洛阳471000

出　　处：《中医学报》2017年第10期1997-2000,共4页Acta Chinese Medicine

基　　金：河南省科技公关课题普通项目(201602168)

摘　　要：目的:观察中西医结合治疗玻璃体积血的临床疗效。方法:将92例患者随机分为对照组41例和治疗组51例,两组均用脱水剂、止血剂、钙剂静脉滴注,球旁注射尿激酶等基础治疗。治疗组在对照组的基础上加服中药汤剂,方药组成:当归尾、白芍、川芎、生地黄、熟地黄、红花、五味子、山药、决明子、白菊花、丹参、三七、白及。再据玻璃体积血中医证候辨证论治:(1)络损出血证,加宁血汤;(2)气血瘀结证,加血府逐瘀汤;(3)痰浊瘀阻证,加涤痰汤;(4)脾不统血证,加归脾汤。两组患者均为7 d为1个疗程,连续治疗4个疗程。结果:治疗组有效率为98.04%,明显高于对照组82.93%,差异有统计学意义(P<0.05);两组患者治疗前后视力恢复情况、玻璃体积血吸收情况、平均治疗时间比较,差异有统计学意义(P<0.05);且两组患者均未出现不良反应。结论:中西医结合治疗能减短患者平均治疗时间,促进视力恢复和玻璃体积血吸收,故临床疗效显著。Objective： To observe the clinical effect of the treatment of vitreous hemorrhage by the combination of traditional Chinese and Western medicine. Methods： 92 patients were randomly divided into the control group of 41 patients and the treatment group of51 patients. Intravenous infusions of dehydrating agent,hemostatic agent and calcium agent,and the periorbital injection of urokinase were adopted for both groups. On this basis,the treatment group additionally took an oral administration of TCM decoction whose basic prescription contained Chinese Angelia Tail,Radices Paeoniae Alba,Ligusticum Wallichii,Unprocessed Rehmannia Root,Prepared Rehmannia Root,Flowers Carthami,Chinese Yam,Fruit of Chinese Magnoliavine,Semen Cassiae Torae,Feverfew,Root of Red-Rooted Salvia,Pseudo-Ginseng,Common Bletilla Tuber,etc. According to syndromes of vitreous hemorrhage in regards to TCM,dialectical treatment was performed： a. Ningxue decoction was added for bleeding due to collateral damage; b. Xuefu Zhuyu decoction was added for Qi-blood stasis; c. Ditan decoction was added for phlegm turbidity and retention; d. Guipi decoction was added for the syndrome of spleen failing to manage blood. 7d was one course of treatment,and continuously three courses of treatment. Results： The effective rate of treatment group was 97. 04%,obviously higher than 83. 93% of the control group,and the difference was statistical significant（ P 〈0. 05）; the comparisons of vision recovery,absorption of vitreous hemorrhage and average treatment time of each group before and after treatment showed that the difference was statistical significant（ P 〈0. 05）; moreover,no adverse effect occurred to the two groups. Conclusion： Treatment by the combination of traditional Chinese and Western medicine can shorten average treatment time for patients and promote the vision recovery and absorption of vitreous hemorrhage;therefore,its clinical effect is of great significance.

关 键 词：玻璃体积血 辨证论治 中医药疗法 中西医结合 

分 类 号：R276.7[医药卫生—中医五官科学]