中药除风益损汤加减联合常规西药治疗超声乳化白内障吸除术后角膜水肿的疗效-论文.pdf

《中药除风益损汤加减联合常规西药治疗超声乳化白内障吸除术后角膜水肿的疗效-论文.pdf》由会员上传分享，免费在线阅读，更多相关内容在应用文档-天天文库。

1、CJCM中医临床研究2014年第6卷第30期-75-DOI:10.3969/j.issn.1674-7860.2014.30.033中药除风益损汤加减联合常规西药治疗超声乳化白内障吸除术后角膜水肿的疗效Curativeobservationontreatmentofpostoperativephacoemulsificationcornealedemabyingredient-alteredChufengYisunDecoctioncombinedwithconventionalwesternmedicine

2、刘金梅（驻马店市第一人民医院，河南驻马店，463000）中图分类号：R276.7文献标识码：A文章编号：1674-7860（2014）30-0075-02证型：DIA【摘要】目的：观察中药复方除风益损汤加减结合常规西药治疗超声乳化白内障吸除术后角膜水肿的疗效。方法：以我院治疗的经超声乳化手术后发生角膜水肿的患者共70例（130只眼）为研究对象，随机分为两组，对照组（65只眼）采用妥布霉素地塞米松滴眼液等常规西药治疗；观察组（65只眼）则采用中西医结合治疗，即在西药治疗基础上给予除风益损汤复方治疗；以患者恢复情

3、况以及住院时间为指标评价其临床疗效。结果：经治疗后观察组、对照组总有效率95.38%（62/65)、70.77%(46/65)，组间比较（P﹤0.05）；观察组和对照组住院时间分别为（14±4）天、（24±2）天，组间比较（P﹤0.05）。结论：采用中药除风益损汤结合常规西药的方法治疗治疗超声乳化白内障吸除术后角膜水肿，不仅可有效降低再手术率以避免增加患者再手术的痛苦，还可以缩短疗程以减缓患者家庭经济压力，疗效确切，且安全、可靠，值得临床推广。【关键词】超声乳化白内障吸除手术；术后角膜水肿；中药除风益损汤；疗

4、效观察【Abstract】Objective:Toobservetheefficacyofingredient-alteredChufengYisunDecoctioncombinedwithconventionalwesternmedicineonpostoperativephacoemulsificationcornealedema.Methods:70cases(130eyes)withpostoperativephacoemulsificationcornealedemainourhospitalwe

5、rerandomlydividedintotwogroups,thecontrolgroup(65eyes)weretreatedwithconventionalwesternmedicinesuchasTobramycinandDexamethasoneeyedrops;theobservationgroup(65eyes)weretreatedwithintegratedChineseandwesternmedicine,givencompoundChufengYisunDecoctionbasedont

6、herapyforthecontrolgroup.Therecoveryconditionandthetimeofhospitalizationwereconsideredastheindexestoevaluatetheclinicalefficacy.Results:Thetotaleffectiverateoftheobservationgroupandthecontrolgroupwererespectively95.38%(62/65)and70.77%(46/65),comparisonbetwe

7、engroups(P<0.05);thetimeofhospitalstayoftheobservationgroupandthecontrolgroupwere(14±4)days,(24±2)days,comparisonbetweengroups(P<0.05).Conclusion:Thetreatmentofingredient-alteredChufengYisunDecoctioncombinedwithconventionalwesternmedicinecannotonlyeffective

8、lyreducethepainofre-operation,butshortenthecourseoftreatmenttoalleviatethepatientsfamilyeconomicpressurewithcurativeeffect,safetyandreliability,whichisworthyofclinicalapplication.【Keywords】Phacoemulsif