补肾活血中药联合甲钴胺片治疗眼压控制后青光眼的疗效观察

The Clinical Study with Bushenhuoxue Combined Methycobal on Glaucoma of the IOP Under Control

目的:观察补肾活血中药联合甲钴胺片干预眼压控制后青光眼视功能损害的效应。方法:眼压控制后青光眼患者120例,按就诊先后次序随机分为试验组与对照组,试验组给予杞菊地黄丸、复方丹参片及弥可保片,对照组给予甲钴胺片,连续用药六个月,观察疗效,1年后进行随访。结果:试验组总体疗效、总有效率及显效率与对照组比较差异具有统计学意义(P<0.01),试验组优于对照组,两组闭角型(primary closed-angle glaucoma,PCAG)患者总体疗效均优于开角型(pimary open-angle glaucoma,POAG)(P<0.05)。结论:补肾活血中药联合甲钴胺片治疗眼压控制后青光眼疗效优于单纯甲钴胺片组,闭角型患者疗效优于开角型。一年随访,补肾活血中药联合甲钴胺片疗效稳定。

Objective：To observe the effect of Bushenhuoxue combined Methycobal on glaucoma of the IOP under control. Methods：120 patients with glaucoma of the IOP after being controled were divided into test and control groups randomly,the test group assigned to receive Qijudihuangwan,Fufangdanshenpian and Methycobal,the control group assigned to receive methycobal,continuous therapy for six months,observating the effect after treatment,and follow-up one year later. Results：The differences had statistical significance in the total effect,effective rate and excellent rate between two groups（ P 0. 01） ,the effect of test group was better than control group,PCAG was better than POAG（ P 0. 05）. Conclusion：The effect of Bushenhuoxue combined Methy-cobal was better than single Methycobal,and the PCAG was better than POAG. The effect of Bushenhuoxue combined Methycobal was stable one year later.