活血利水、退翳明目方治疗白内障术后并发角膜水肿及虹膜睫状体炎的临床观察  

Clinical Observation of Using Huoxue Lishui and Tuiyi Mingmu Decoction in Treating Corneal Edema with Iridocyclitis after Cataract Surgery

作　　者：杨晓勤 王立言 潘凤 王静静 YANG Xiaoqin;WANG Liyan;PAN Feng(Department of Ophthalmology,Suixi County Hospital,Anhui Huaibei 235100,China)

机构地区：[1]濉溪县医院眼科,安徽濉溪235100

出　　处：《四川中医》2021年第6期156-159,共4页Journal of Sichuan of Traditional Chinese Medicine

摘　　要：目的:观察活血利水、退翳明目方治疗白内障术后并发角膜水肿及虹膜睫状体炎的临床疗效。方法:选取2016年4月-2020年4月本院收治的白内障术后并发角膜水肿及虹膜睫状体炎患者74例,随机数表法分为观察组(n=37)和对照组(n=37)。对照组在术后给予常规对症治疗,观察组在对照组的基础上给予活血利水、退翳明目方治疗,比较两组患者的临床疗效、不同时间点的角膜厚度、水肿消退时间及治疗前后视力矫正情况。结果:观察组的治疗总有效率为86.49%高于对照组的70.27%(P<0.05);术后,两组患者的角膜厚度较术前有明显差异(P<0.05),且观察组术后1d、7d和14d角膜厚度均小于对照组(P<0.05);观察组患者的角膜水肿消退平均时间短于对照组(P<0.05),两组患者在1~3d、4~6d、7~10d和11d之后的水肿消退情况比较,差异有统计学意义(P<0.05);术后1d、7d和14d,两组患者的矫正视力均较术前升高(P<0.05),且观察组术后7d和14d的矫正视力均高于对照组,差异有统计学意义(P<0.05)。结论:活血利水、退翳明目方在治疗白内障术后并发角膜水肿及虹膜睫状体炎方面疗效确切,能有效改善患者角膜水肿情况,缩短水肿消退时间,提高患者视力,值得临床推广与应用。Objective: To explore the clinical effect of using Huoxue Lishui and Tuiyi Mingmu Decoction in treating corneal edema with iridocyclitis after cataract surgery. Methods: 74 patients with corneal edema and iridocyclitis after cataract surgery who were admitted to the hospital from April 2016 to April 2020 were selected and divided into an observation group(n=37) and control group(n=37) by the random number table method. The controlled group were given routine symptomatic treatment after surgery, and the observation group were treated with Huoxue Lishui and Tuiyi Mingmu Decoction on the basis of the controlled group. The clinical effect, corneal thicknesses at different time points, edema abatement time and vision correction before and after treatment were compared between the two groups. Results: The total effective rate of treatment in the observation group(86.49%) was higher than that in the controlled group(70.27%)(P<0.05). There were significant differences in corneal thicknesses of the two groups before and after surgery(P<0.05). The corneal thicknesses of the observation group at 1 d, 7 d and 14 d after surgery were smaller than those of the controlled group(P<0.05). The mean edema abatement time in the observation group was shorter than that in the controlled group(P<0.05). There were statistically significant differences in edema abatement between the two groups at 1~3 d, 4~6 d, 7~10 d and 11 d after surgery(P<0.05). The corrected visual acuity of both groups was increased at 1 d, 7 d and 14 d after surgery(P<0.05). The corrected visual acuity of the observation group at 7 d and 14 d after surgery was higher than that of the controlled group(P<0.05). Conclusion: Huoxue Lishui and Tuiyi Mingmu Decoction are effective in the treatment of corneal edema with iridocyclitis after cataract surgery. They can effectively relieve corneal edema, shorten the edema abatement time and improve the vision of patients.

关 键 词：白内障手术 并发症 角膜水肿 虹膜睫状体炎 中药治疗 

分 类 号：R776.1[医药卫生—眼科]