参脉散联合抗氧化性营养素治疗萎缩型老年性黄斑变性临床观察  

Clinical Observation on Shenmai Powder Combined with Anti-oxidative Nutrients for Atrophic Type Age-related Macular Degeneration

作　　者：蒋黎琼 JIANG Liqiong

机构地区：[1]渭源县中医医院,甘肃渭源748200

出　　处：《新中医》2018年第8期134-136,共3页New Chinese Medicine

摘　　要：目的:观察参脉散联合抗氧化性营养素治疗萎缩型老年性黄斑变性的临床效果。方法:选取萎缩型老年性黄斑变性患者60例,随机分为观察组和对照组各3 0例。对照组予抗氧化性营养素治疗,观察组在对照组基础上加服参脉散。治疗2周后,比较2组临床疗效、治疗前后视力及黄斑区病变程度变化。结果:治疗后,总有效率观察组为9 6.7%,对照组为83.3%,2组比较,差异有统计学意义(P<0.05)。治疗前,2组视力和黄斑病变程度比较无差异(P>0.05);治疗后,对照组视力和黄斑病变程度与治疗前比较均无差异(P>0.05);观察组视力较治疗前和对照组均提高(P<0.05),黄斑病变程度较治疗前和对照组均降低(P<0.05)。结论:参脉散联合抗氧化性营养素治疗萎缩型老年性黄斑变性临床疗效显著,可以提高患者视力,缩小黄斑病灶范围。Objective： To observe the clinical effect of Shenmai powder combined with anti-oxidative nutrients for atrophic type age-related macular degeneration. Methods： Selected 60 cases of patients with atrophic type age-related macular degeneration, and divided them into the observation group and the control group randomly, 30 cases in each group. The control group was treated with anti-oxidative nutrients,while the observation group was additionally given Shenmai powder based on the treatment of the control group.The two groups received treatment for two weeks. Compared the clinical effect and changes of vision and lesion degree in macular area in the two groups before and after treatment. Results：After treatment,the total effective was 96.7% in the observation group and 83.3%in the control group,the difference being significant（P〈0.05）. Before treatment,there were no significant differences being found in the comparisons of vision and lesion degree between the two groups（P〈0.05）. After treatment,compared the vision and lesion degree in the control group before and after treatment,there were no significant differences（P〈0.05）,the vision in the observation group was increased when compared with that before treatment and that in the control group（P〈0.05）, and lesion degree of macula lutea was decreased when compared with that before treatment and that in the control group（P〈0.05）. Conclusion： The therapy of Shenmai powder combined with anti-oxidative nutrients for atrophic type age-related macular degeneration has remarkable clinical effect,which can improve the vision of patients,reduce the scope of the macular lesion.

关 键 词：老年性黄斑变性 萎缩型 参脉散 抗氧化性营养素 黄斑病变 

分 类 号：R774.5[医药卫生—眼科]