中西医结合治疗视网膜动脉阻塞80例

Clinical Observation of Integrated Chinese and Western Medicine on Retinal Arterial Obstruction,A Report of 80 Cases

目的：探讨视网膜动脉阻塞治疗的新方法。方法：采用中医行气活血、通络明目为主,方选血府逐瘀汤加减;西药普鲁卡因、阿托品混合行患眼球后封闭,治疗视网膜动脉阻塞患者80例（81只眼）。结果：治愈30例,好转32例,无效18例,总有效率77.5%（95%C I=68.3%-86.7%）;68例发病超过24 h的患者中,治愈24例,好转27例,无效17例,有效率为75.0%（95%C I=64.7%-85.3%）。结论：视网膜动脉阻塞不论发病时间长短,只要用药得当,积极治疗,都有获愈的可能,不应被视网膜对暂时性缺血的耐受时间所束缚。

Objective： To investigate the new method on how to treat retinal arterial obstruction.Method： 80 cases（81 eyes） with retinal arterial obstruction were treated with integrated Chinese and western medicine.Modified Decoction of Blood-House Stasis-Dispelling was chosen as Chinese medicine treatment,and aethocaine and atropine were chosen as western medicine to do block therapy behind the Eyeball.Result： 30 cases were recovered,32 ones effective and 18 ones ineffective.The total effective rate was 77.5%（95%CI=68.3%-86.7%）.Among 68 cases whose onset was over 24 hours,24 cases were recovered,27 ones effective and 17 ones ineffective.The total effective rate was 75%（95%CI=64.7%-85.3%）.Conclusion： No matter how long the onset is,retinal arterial obstruction should have the possibility of recovery as long as medication is correct and treatment is active.And medical literature records about transient retina ischemia had limited time should not been the constraint in treating retinal arterial obstruction.