2016年美国眼科学会原发性闭角型青光眼临床指南的中西医治疗探索  

Exploration on preferred practice patterns of American Academy of Ophthalmology for primary angle closure glaucoma of traditional Chinese and western medicine in 2016

作　　者：曹旭[1] 赵静如[1] 许家骏[1] 宋立[1] 张南[1] 曹珂儿 肖采尹 李铁军[1] 王莉萌 CAO Xu;ZHAO Jing-ru;XU Jia-jun;SONG Li;ZHANG Nan;CAO KE-er;XIAO Cai-yin;LI Tie-jun;WANG Li-meng(Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine,Beijing 100700,China;Beijing Chinese Medicine Hospital of Shunyi,Beijing 101300,China;Chengdu University of Chinese Medicine,Chengdu 611137,China)

机构地区：[1]北京中医药大学东直门医院,北京100700 [2]北京中医医院顺义医院,北京101300 [3]成都中医药大学,成都611137

出　　处：《中华中医药杂志》2018年第8期3662-3665,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：北京中医药大学东直门医院青年教师项目(No.2017-JYB-JS-088)~~

摘　　要：借助循证医学的方法,根据临床上3例患者的治疗方案,对美国眼科学会于2016年发布的临床指南中原发性闭角型青光眼及其疑似患者的管理进行回顾性总结和探讨。针对临床上最为常见的两种干预方式激光虹膜切开术和白内障超声乳化术,集中讨论两种处理方式的优势和潜在风险,意在灵活运用新版指南。初步探讨原发性闭角型青光眼的早期中药干预,尽早保护视神经及视功能。原发性闭角型青光眼的早期干预应充分评估患者情况,结合全身状态辨证论治,选择精准化、个性化的中西医结合治疗方案。Based on evidence-based medicine, according to the clinical treatment cases of 3 patients, preferred practice patterns （PPP） of American Academy of Ophthalmology （AAO） issued in 2016, the management of primary angle closure glaucoma and its suspected patients were reviewed and discussed. According to the two most common clinical intervention methods, laser peripheral iridotomy （LPI） and cataract phacoemulsification, we focused on the advantages and potential risks of the two treatments, which was intended to be flexible in the use of guidelines and guide the clinical treatment of such patients. The early intervention of traditional Chinese medicine in primary angle closure glaucoma was investigated to protect the optic nerve and visual function as early as possible. The early intervention of primary angle closure glaucoma should fully assess the patient＇s condition. Combined with the whole body＇s syndrome differentiation and treatment, we should choose a precise and personalized integrated traditional Chinese and Western medicine treatment plan.

关 键 词：原发性闭角型青光眼 美国眼科学会临床指南 中西医治疗 循证医学 激光虹膜切开术 白内障超声乳化术 

分 类 号：R775.2[医药卫生—眼科]