中药自拟方复明汤联合西药治疗老年白内障的研究

Study on Fuming Decoction Combined with Western Medicine in Treating Senile Cataract

目的:观察中药自拟方复明汤治疗老年白内障的临床疗效。方法:2009年9月至2012年7月期间来我院就诊的老年白内障患者共136例,随机分为治疗组和对照组,各68例。治疗组68例患者在白内停西药治疗的基础上加用中药自拟方复明汤加减,对照组仅使用白内停滴眼液治疗。1个月为1个疗程,共治疗2个疗程。分别记录治疗前后患者视力的改变和晶状体浑浊的程度,并对收集的数据进行统计学处理。结果:2组组内治疗前后视力比较均有统计学意义(治疗组:t=18.971,P=0.000<0.01;对照组:t=3.99,P=0.003<0.05),但治疗组的总有效率(87.25%)明显高于对照组(23.47%),且2组组间治疗后视力比较有统计学意义(P<0.01)。结论:复明汤配合西药可以有效治疗老年白内障,明显提高患者视力,值得临床推广。

Objective： To observe the effect of self made Fuming decoction in treating senile cataract. Methods： One hundred and thirty six patients suffered from senile cataract admitted to our hospital from September 2009 to July 2012 were randomly assigned to treatment group and control group,each group with 68 cases. Patients in treatment group were given Pearl of Western medicine as well as Chinese medicine Fuming decoction. Patients in the control group only received Pearl eye drop. Patients were treated for 2 courses （1 month for a course of treatment） . Changes in vision and lens turbidity levels were recorded before and after treatment for statistical analysis. Results： Changes of vision in both groups before and after treatment showed statistically significant improvement （ treatment group： t=18. 971,P = 0. 000 0. 01; Control group： t = 3. 99,P = 0. 003 0. 05） . The total effective rate of the treatment group （ 87. 25% ） was significantly higher than the control group （ 23. 47% ） ,and vision after treatment in two groups showed a significant difference （ P 0. 01） . Conclusion： Fuming decoction combined with western medicine can be effective in treating senile cataract with great improvement in vision of patients,and it is worth generalizing.