中药及针刺对青光眼视功能的影响

Effect of traditional Chinese medicine and acupuncture on visual function of glaucoma

目的观察滋补肝肾中药加针刺对于青光眼视功能损害的治疗效果。方法回顾性病例研究。中医辨证为肝肾阴虚证的原发性视功能损害患者38例(72只眼),药物或手术控制眼压稳定,分为中药加针刺组15例(28只眼)、中药组12例(23只眼)、对照组11例(21只眼),分别予口服滋补肝肾中药联合针刺、口服滋补肝肾中药和仅监控眼压处理。观察6个月,比较各组治疗前后视力、视野变化情况。结果中药加针刺组的视力、视野均较治疗前有统计学意义的改善(P<0.05)。中药组视力未见明显变化(P>0.05),视野评分较治疗前下降(P<0.05)。对照组视力和视野评分均下降(P<0.05)。结论滋补肝肾中药联合针刺治疗对于眼压已控制的青光眼的视功能有一定的保护作用。

OBJECTIVE To observe the effect of using traditional Chinese medicine and acupuncture curing visual impairment of glaucoma. METHOD Thirty-eight patients （72 eyes） with primary glaucoma, whose intraocu- lar pressure was stable controlled by drug or operation, were randomly divided into three groups. First group （ 15 cases, 28 eyes） was treated by traditional Chinese medicine and acupuncture. Second group （11 cases, 21 eyes） was done only by traditional Chinese medicine, and the third group （12cases, 23eyes） was reference group, just monitor- ing intraocular pressure. Visual activity and field of the three groups were compared after six months. RESULTS First group had statistical improvement （P〈0.05） . Second group had no considerable change in visual activity （P〉 0.05）, but had worse visual field （P〈0.05）. And the reference group got both worse visual activity and field （P〈 0.05）. CONCLUSIONS Traditional Chinese medicine and acupuncture could benefit visual function of glaucoma with stable intraocular pressure.