小梁切除术联合中药治疗青光眼的疗效观察

Effect of trabeculectomy combined with traditional Chinese medicine for treatment of glaucoma

目的观察小梁切除术联合中药对青光眼患者控制眼压的疗效。方法将2008年8月—2010年6月阿克苏地区第二人民医院眼科收治的87例青光眼患者随机分为2组,对照组采用小梁切除术,治疗组采用小梁切除术、术后联合中药治疗,其他术中、术后处理相同。结果对照组术后1年眼压升高的阳性率为18.2%,治疗组术后1年的阳性率为9.09%,两组差异显著。结论小梁切除术联合中药降眼压的效果更好,其机制为中医认为青光眼为肝肾阴虚、目失滋养,中药可以降低眼压并能对抗手术后局部眼络受损,补肝肾兼活血化瘀中药配合手术疗治疗青光眼值得推广。

Objective To observe the different effects of trabeculectomy only and trabeculectomy combined with traditional Chinese medicine in the treatment of glaucoma.Methods A total of 87 patients were divided into 2 groups randomly.Patients in control group were treated with trabeculectomy,and patients in treatment group were treated with trabeculectomy and traditional Chinese medicine（TCM）.The other treatments during and after the surgery in the two groups were the same.Results The positive rate in control group was 18.2% 1 year after the treatment,and the positive rate in treatment group was 9.09%.Conclusion Trabeculectomy combined with traditional Chinese medicine had better effects on glaucoma.In TCM theory,glaucoma was caused by liver-kidney Yin deficiency and eyes malnutrition.In the treatment of glaucoma,Chinese medicine can decrease eye pressure and reduce the damage of eye vein caused by surgery through tonifying liver-kidney,activating blood and resolving stasis.