中医辨证论治治疗视网膜光凝术后缺血型视网膜静脉栓塞

目的:观察缺血型视网膜静脉阻塞激光光凝术后的临床疗效。方法:对缺血型视网膜静脉阻塞194例214眼,随机分为对照组96例102眼和治疗组98例112眼,对照组在视网膜激光光凝基础上加用西药治疗;治疗组辨证为肝阳上亢、气滞血瘀、脾虚气弱、肝郁血热4型,光凝治疗后予以中医辨证论治。结果:治疗组98例112眼中,临床痊愈34眼(30.4%);好转68眼(60.7%);无效10眼(8.9%),总有效率91.1%。对照组96例102眼,临床痊愈8眼(7.8%);好转68眼(66.7%);无效26眼(25.5%),总有效率74.5%。治疗组与对照组临床疗效比较差异有统计学意义(P<0.05)。治疗组与对照组差异具有显著性(P<0.05)。结论:中医辨证论治治疗视网膜光凝术后视网膜静脉阻塞的临床疗效明显优于单纯西医治疗。

Observation of differentiation of syndrome on ischemic retinal vein occlusion after laser photocoagulation

·AIM:To observe the effect of differentiation of syndrome on early ischemic retinal vein occlusion after laser photocoagulation.METHODS:Totally 194 cases(214 eyes)with early ischemic retinal vein occlusion were randomly divided into control group,including 96 cases(102 eyes),and treatment group,including 98 cases(112 eyes).The control group was treated with Western medicine on the basis of retinal laser photocoagulation.The treatment group were differentiated into the syndromes of liver yang hyperactivity,qi stagnation and blood stasis,deficient spleen and weak qi,liver depression and bleeding due to blood-heat,then they were respectively given to differentiation of syndrome after laser treatment.RESULTS:In treatment group,34 eyes were recovered,68 eyes improved,10 eyes invalid,and the total effective rate was 91.1%.In control group,8 eyes were recovered,68 eyes improved,26 eyes invalid,and the total effective rate was 74.5%.The difference of clinical effect between the two groups was statistically significant(P<0.05).CONCLUSION:It is satisfactory to treat early ischemic retinal vein occlusion after laser photocoagulation therapy with differentiation of syndrome.