中西医结合治疗原发开角型青光眼

An Observation on Effects of Traditional Chinese and Western Medicine in Treatment Primary Open-angle Glaucoma

目的:观察中西医结合干预原发开角型青光眼的临床疗效。方法:选取原发性开角型青光眼78例,给予曲伏前列素滴眼液和辨证给予不同的中药进行综合干预,观察视力、视野及视诱发电位的改善情况。结果:治疗前患者中最好视力为0.5(伴有屈光不正患者以矫正视力为准),治疗后患者视力显效者28例,有效者44例,无效者6例,有效率为92.3%;治疗后患者视野的平均光敏度、平均缺损均较治疗前有所改善(P<0.05);治疗后视诱发电位的振幅及潜伏期与治疗前比较,改善明显(P<0.05)。结论:中西医结合综合干预原发开角型青光眼疗效较佳,可临床推广应用。

Objective：To observe the clinical efficacy of optic nerve protection with traditional Chinese and western medicine on treating primary open-angle glaucoma.Method： Seventy eight patients with optic atrophy leaded by Primary open-angle glaucoma were randomly.Comparison of topical travoprost eye drops given once daily and timolol0.5% given twice daily and traditional Chinese medicine in patient with open-angle glaucoma or ocular hypertension observe eyesight,and visual evoked potentials.Result： Effieaey of the treatment group is superior to the before treatment.Before and after treatment.The average photosensitive degree of vision is increased,there are significant differences（P 0.05）.The average defect is reduced,there are signiflcant differences（P 0.05）.In study of VEP,the amplitude of the P100 wave is improved,there are significant differences（P 0.05）,the latency of the P100 wave is shorten,there are significant differences（P 0.05）.Conclusion：the clinical efficacy of optic nerve protection with traditional Chinese and western medicine is a good method on treating Primary open-angle glaucoma.