活血化瘀利水汤治疗挫伤性前房积血继发性青光眼疗效及对患者视力状况影响的研究
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摘要
目的:探究活血化瘀利水汤治疗挫伤性前房积血继发性青光眼的效果及对患者视力状况的影响。方法:回顾性分析我院收治的132例(136只眼)患者,采用随机数字表法将他们分为两组,给予对照组患者活血化瘀治疗,研究组患者则在对照组基础上给予活血化瘀利水汤。观察比较两组患者的临床治愈效果、治疗前后的视力状况,以及痊愈的时间和治疗前后眼压的情况。结果:研究组患者的治疗效果明显优于对照组(P<0.05);治疗前两组患者的BCVA水平和眼压水平差异无统计学意义(P>0.05),治疗后研究组患者的BCVA水平和眼压水平明显优于对照组(P<0.05);研究组患者痊愈的时间明显短于对照组(P<0.05)。结论:活血化瘀利水汤治疗挫伤性前房积血继发性青光眼患者,不仅具有良好的治疗效果,还可以改善患者的视力水平和眼压水平,缩短伤眼的痊愈时间。
Objective:To explore the effect of Huoxue Huayu Lishui decoction on secondary glaucoma due to contusion hyphema and its influence on vision.Methods:A retrospective analysis of 132 cases(136 eyes)treated in our hospital were divided into two groups by random digital expression.The patients in the control group were treated with blood circulation and blood stasis treatment.The patients in the study group were given blood circulation and removing blood stasis decoction on the basis of the control group.The clinical cure effect,the visual acuity before and after treatment,the time of recovery and the intraocular pressure before and after treatment were observed and compared between the two groups.Results:The treatment effect of the patients in the study group was obviously better than that of the control group(P<0.05).There was no significant difference in the level of BCVA and IOP level between the two groups before the treatment(P>0.05).The level of BCVA and the intraocular pressure of the patients in the study group were significantly better than those of the control group(P<0.05),and the time of recovery of the patients in the study group was significantly shorter than that of the control group(P<0.05).Conclusion:Huoxue Huayu Lishui decoction in the treatment of traumatic hyphema secondary glaucoma patients,not only has a good treatment effect,but also can improve the level of visual acuity and intraocular pressure,shorten the recovery time of the eye,and should be further popularized and applied in clinical.
Objective:To explore the effect of Huoxue Huayu Lishui decoction on secondary glaucoma due to contusion hyphema and its influence on vision.Methods:A retrospective analysis of 132 cases(136 eyes)treated in our hospital were divided into two groups by random digital expression.The patients in the control group were treated with blood circulation and blood stasis treatment.The patients in the study group were given blood circulation and removing blood stasis decoction on the basis of the control group.The clinical cure effect,the visual acuity before and after treatment,the time of recovery and the intraocular pressure before and after treatment were observed and compared between the two groups.Results:The treatment effect of the patients in the study group was obviously better than that of the control group(P<0.05).There was no significant difference in the level of BCVA and IOP level between the two groups before the treatment(P>0.05).The level of BCVA and the intraocular pressure of the patients in the study group were significantly better than those of the control group(P<0.05),and the time of recovery of the patients in the study group was significantly shorter than that of the control group(P<0.05).Conclusion:Huoxue Huayu Lishui decoction in the treatment of traumatic hyphema secondary glaucoma patients,not only has a good treatment effect,but also can improve the level of visual acuity and intraocular pressure,shorten the recovery time of the eye,and should be further popularized and applied in clinical.
引文
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[14]Huang D.Efficacy of omeprazole combined with Huoxue Huayu Tongluo decoction on gastric motility disorders in diabetic patients with gastric mild paralysis and its influence on relevant indicators[J].China Pharmaceuticals,2016,34(47):654-655.
[15]张丽丽.玻璃体腔内注射雷珠单抗治疗新生血管性青光眼的临床观察[J].山西医药杂志,2017,46(8):941-943.
[16]卢建麟.眼外伤前房积血的临床疗效[J].世界临床医学,2017,11(1):58-59.
[17]Wang L,Xia Z,Lu X.Effect of Huoxue Huayu decoction on NT-proBNT,serum inflammatory factors,neurological function and copeptin level of patients with acute cerebral infarction[J].World Chinese Medicine,2016,25(65):258-259.
[18]马凌葵.挫伤性前房积血的治疗方法及临床疗效分析[J].检验医学与临床,2017,21(A2):246-247.
[19]周懿燕.十灰散联合血府逐瘀汤加减治疗外伤性前房积血效果观察[J].中国乡村医药,2016,23(22):41-42.
[20]伍志琴,聂尚武,王晓琴,等.Ex-PRESS青光眼微型引流器治疗难治性青光眼[J].中华眼外伤职业眼病杂志,2017,39(10):771-775.
[2]吴涛.挫伤性前房积血继发性青光眼的治疗[J].医学信息,2016,29(21):268-268.
[3]Luo J,Chen S H,Yun J I,et al.Clinical Effects of Yiqi Yangyin Huoxue Huayu Decoction on Serum Levels of CRP,BNP,CK-MB and cTnI in Patients with Heart Failure and Atrial Fibrillation[J].Progress in Modern Biomedicine,2017,25(32):369-370.
[4]邱渝琳.对眼钝挫伤前房积血患者进行综合性护理的效果评价[J].饮食保健,2016,3(5):154-155.
[5]樊利敏,杨波,计青,等.早期前房冲洗术治疗前房积血45例临床观察[J].中国实用医药,2017,12(19):27-28.
[6]Han Z,Orthopedics D O.Analysis on the effect of xinshang decoction and Huoxue Huayu Powder in the treatment of acute traumatic synovitis of knee joint[J].Guangming Journal of Chinese Medicine,2017,14(36):321-322.
[7]王海菊.外伤性前房积血28例治疗体会[J].黑龙江医药,2016,29(6):365-366.
[8]陈春梅,谭吉林,余涛.眼挫伤早期高眼压患者的临床特点及补硒对预后的影响[J].中国医学前沿杂志:电子版,2017,9(3):136-139.
[9]Shu Q.Clinical effects of treating chronic atrophic gastritis with Huoxuehuayu decoction[J].China Health Standard Management,2016,65(58):147-148.
[10]何艳艳,曹学礼.外伤性前房积血前房穿刺联合白眉蛇毒血凝酶灌注的效果[J].中华眼外伤职业眼病杂志,2018,25(1):68-69.
[11]Wei L,Junzeng S I,Xiaoli Q I,et al.Effect of transcranial doppler-assisted intra-Arterial thrombolysis combined with Huoxue Huayu decoction for patients with acute ischemic stroke[J].Chinese Archives of Traditional Chinese Medicine,2017,329(36):654-655.
[12]叶森娣,叶静梅,陈坤连,等.康复助手在前房积血患者健康教育中的应用[J].内蒙古中医药,2016,35(10):107-108.
[13]周丹,何雷,庞秀琴.玻璃体切除术中直视下睫状体光凝和经巩膜睫状体光凝治疗继发性青光眼的疗效比较[J].眼科,2016,36(5):330-334.
[14]Huang D.Efficacy of omeprazole combined with Huoxue Huayu Tongluo decoction on gastric motility disorders in diabetic patients with gastric mild paralysis and its influence on relevant indicators[J].China Pharmaceuticals,2016,34(47):654-655.
[15]张丽丽.玻璃体腔内注射雷珠单抗治疗新生血管性青光眼的临床观察[J].山西医药杂志,2017,46(8):941-943.
[16]卢建麟.眼外伤前房积血的临床疗效[J].世界临床医学,2017,11(1):58-59.
[17]Wang L,Xia Z,Lu X.Effect of Huoxue Huayu decoction on NT-proBNT,serum inflammatory factors,neurological function and copeptin level of patients with acute cerebral infarction[J].World Chinese Medicine,2016,25(65):258-259.
[18]马凌葵.挫伤性前房积血的治疗方法及临床疗效分析[J].检验医学与临床,2017,21(A2):246-247.
[19]周懿燕.十灰散联合血府逐瘀汤加减治疗外伤性前房积血效果观察[J].中国乡村医药,2016,23(22):41-42.
[20]伍志琴,聂尚武,王晓琴,等.Ex-PRESS青光眼微型引流器治疗难治性青光眼[J].中华眼外伤职业眼病杂志,2017,39(10):771-775.