疏肝益精健脾为主中药治疗屈光不正性弱视的临床研究

Clinical Study on Liver-soothing,Essence-tonifying and Spleen-strengthening Herbal Medicine for Ametropic Amblyopia in Children

【目的】观察疏肝益精健脾为主的中药对屈光不正性弱视患儿视功能的影响。【方法】将57例符合屈光不正性弱视诊断的患儿随机分为2组,治疗组29例52眼,对照组28例46眼。治疗组采用具有疏肝健脾、益精明目作用的西明汤(主要由郁金、太子参、西洋参、枳实、藿香、密蒙花、蕤仁肉、谷芽、麦芽、山楂、神曲等组成)治疗,对照组采用左旋多巴治疗,两组病例还同时进行验光配镜及传统的电脑闪烁增视仪治疗。两组均以7 d为1个疗程,共8个疗程。比较两组治疗前后患儿矫正视力的变化。【结果】治疗组52眼,基本痊愈33眼,进步13眼,无效6眼,总有效率为88.46%;对照组46眼,基本痊愈12眼,进步10眼,无效24眼,总有效率为47.83%。两组疗效比较,治疗组优于对照组(P<0.05)。【结论】疏肝健脾、益精明目为主的中药能有效改善屈光不正性弱视患儿的视功能。

Objective To observe the effect of liver-soothing and spleen-strengthening,essence-tonifying and eyesight-improving herbal medicine for ametropic amblyopia（AA） in children.Methods AA children were randomized into 2 groups.The two groups received treatment of optometry and sight-enhancing device based on microcomputer.Meanwhile,group A（52 affected eyes in 29 patients） received oral use of Ximing Decoction with liver-soothing and spleen-strengthening,essence-tonifying and eyesight-improving actions,which is mainly composed of Radix Curcumae,Radix Pseudostellariae,Radix Panacis Quinquefolii,Fructus Aurantii Immaturus,Herba Agastaches,Flos Buddlejae,Nux Prinsepiae,Fructus Setariae Germinatus,Radix Ophiopogonis,Fructus Crataegi and Massa Medicata Fermentata.Group B（46 affected eyes in 28 patients） received oral use of levodopa additionally.Seven days constituted one treatment course.The treatment lasted 8 courses.Before and after treatment,corrected visual acuity（CVA） was observed.Results In group A,CVA of 13 eyes were improved,AA of 33 eyes cured,6 eyes ineffective,and the total effective rate was 88.46%.In group B,CVA of 10 eyes were improved,AA of 12 eyes cured,24 eyes ineffective,and the total effective rate was 47.83%.The effect in group A was superior to that in group B（P〈0.05）.Conclusion Liver-soothing and spleen-strengthening,essence-tonifying and eyesight-improving herbal medicine can effectively improve the visual acuity of AA children.