中西医结合治疗急性前葡萄膜炎45例临床观察

45 cases with acute anterior uveitis by Integrative treatment

目的:观察中西医结合治疗急性前葡萄膜炎临床效果。方法:急性前葡萄膜炎患者90例(100眼),随机分为治疗组45例(55眼),对照组45例(45眼),对照组用阿托品、托品卡胺、地塞米松眼药滴眼,强的松龙混悬液行球结膜下注射,每周1次,共2次。治疗组在对照组治疗的基础上,根据患者症状与体征,分为4个证型论治。两组均以两周为1疗程,观察2个疗程后评价疗效。结果:两组治疗前病情可比性分析,均无显著性差异(P>0.05);治疗组总有效率94.5%高于对照组82.0%(X2=3.911,P<0.05);治疗组复发率9.0%,明显低于对照组20.0%(X2=3.911,P<0.05)。结论:中西医结合治疗急性前葡萄膜炎较单一西药疗效为佳,且可缩短疗程,减少激素的副作用。

Objective：To observe the clinical effects of combination therapy in acute anterior uveitis. Method：90 cases （100 eyes） with acute anterior uveitis were randomly divided into treatment group 45 patients （55 eyes）and 45 patients （45 eyes） in the control group, the control group with atropine, tropicamide card amine,dexamethasone ophthalmic eye drops drops, prednisolone suspension line subconjunctival injection, once a week, a total of 2 times. Treatment group were treated based on the symptoms and signs, divided into four syndromes of governance. The two groups are two weeks for a course of treatment, observed 2 months after treatment were evaluated.Results：comparative analysis of two pre-treatment condition, there were no significant difference （P〉0.05）; The total efficiency 94.5% in treatment group were significantly higher that the 82.0% in control group （X2=3.911, P〈0.05）; The recurrence rate 9.0% in treatment group were significantly lower than the 20.0% in control group （X2=-3.911, P〈0.05）. Conclusion：Integrative Medicine acute anterior uveitis better efficacy than a single medicine, and can shorten the course of treatment, to reduce the side effects of hormones.