激光光凝联合血府逐瘀汤治疗眼底病的疗效及对视力的影响

李霞 陈战巧 俞颂平 彭潇

[摘要] 目的 探討眼底病患者开展激光光凝联合血府逐瘀汤治疗的临床效果及对患者视力的影响。 方法 选取我院眼科2016年6月～2017年6月收治的眼底病患者97例为本次研究对象，按照入院后病床单双号随机分为单号48例为对照组，双号49例为观察组。对照组患者仅开展激光光凝治疗，观察组患者在对照组治疗基础上联合血府逐瘀汤治疗，对比两组患者临床治疗效果、不良反应及视力情况。 结果 观察组治疗总有效率为95.92%，明显高于对照组的83.33%，两组间数据比较差异存在统计学意义（P<0.05）；3个月、6个月两次随访数据比较两组视力改善情况存在统计学意义（P<0.05），观察组优于对照组；对照组患者在治疗期间合计出现4例（8.33%）不良反应，观察组患者在治疗期间合计出现5例（10.20%）不良反应，组间数据对比无统计学意义（P>0.05）。 结论 激光光凝联合血府逐瘀汤治疗眼底病疗效显著，不良反应少，能有效改善视力恢复，值得临床应用与推广。

[关键词] 激光光凝；眼底病；视力；血府逐瘀汤

[中图分类号] R779.63 [文献标识码] B [文章编号] 1673-9701（2018）15-0074-04

The curative effect and visual influence of the laser photocoagulation combined with Xuefu Zhuyu decoction in treatment of patients with ocular fundus disease

LI Xia1 CHEN Zhanqiao1 YU Songping1 PENG Xiao2

1.Department of Ophthalmology， the Central Hospital of Lishui City in Zhejiang Province， Lishui 323000， China； 2.Department of Neurology， the Central Hospital of Lishui City in Zhejiang Province， Lishui 323000， China

[Abstract] Objective To study the curative effect of the laser photocoagulation combined with Xuefu Zhuyu decoction in treatment of patients with ocular fundus disease. Methods Ninety-seven patients with ocular fundus diseases were selected from the Department of Ophthalmology， The Central Hospital of Lishui City from June 2016 to June 2017. The patients were randomly divided into control group and observation group by the odevity of their sickbed number， including 48 odd numbers in control group and 49 even numbers in observation group. The patients in control group were treated with laser photocoagulation. The observation group added Xuefu Zhuyu Decoction in the foundation of control group. We compared the curative effects， side effects and vision improvements of each group. Results The total effective rate of the observation group was 95.92%， which was significantly higher than the rate of the control group at 83.33%. There was significant difference between the two groups（P<0.05）. The vision improvements of the observation group after three and six months were better than those of the control group and the difference between the two groups was significant（P<0.05）. The total numbers of occurrences of side effects in the control group and the observation group were 4 cases（8.33%） and 5 cases（10.20%） respectively， while the difference wasnt significant（P>0.05）. Conclusion The laser photocoagulation combined with Xuefu Zhuyu decoction in treatment of patients with ocular fundus disease has better curative effect and less side effects， which helps visual recovery effectively， deserving clinical application and popularization.

[Key words] Laser photocoagulation； Ocular fundus disease； Vision； Xuefu Zhuyu decoction

眼底是内眼深部由血管、视神经纤维、视网膜、乳头等组织共同构成的复杂组织[1]，因构成组织较为复杂，眼底病发病原因可能为其中某一组织或多个组织共同发生病变，大致可能引发原因为动脉硬化、血流动力学异常、血液黏稠度增高等[2-4]。眼底病为眼科常见病，可影响患者视力，严重会致盲，对患者生命健康及生活质量造成极大影响。随着医疗技术的不断发展，当前针对眼底病治疗的方法分为药物治疗与手术治疗2种方法，常见药物治疗主要包括激素、营养神经、扩血管疗法等[5]，虽有一定疗效，但容易复发；手术治疗虽能够直接解除病灶，但针对如视网膜静脉周围炎、视盘血管炎、视网膜静脉阻塞、黄斑变性等眼底病则无法适用[6]。……