“祛瘀散结”法在玻璃体积血吸收过程中的临床应用研究

Clinical Application Research on Stasis Sanjie Method in Vitreous Hemorrhage

目的探讨"祛瘀散结"法在玻璃体积血吸收过程中的作用及其临床应用。方法收集100例玻璃体积血疾病患者,按随机数字表法随机分为实验组和对照组。实验组采用"祛瘀散结"法口服中药方剂进行治疗。对照组口服维生素C、K及氨甲苯酸静脉滴注;5 d为1个疗程,每个疗程间隔2 d,连续治疗2个疗程。治疗前后均进行最佳矫正视力、散瞳后眼底镜检查眼底并照相、光学相干断层扫描(OCT)检查。观察两组治疗前后视力和眼底的变化。结果实验组总有效率91.84%,明显高于对照组的74.41%(P<0.05)。结论 "祛瘀散结"法能有效改善玻璃体积血吸收程度和减轻其并发症,恢复患者视功能。

Objective： To investigate the effects of Stasis Saujie method on the treatment of vitreous hemorrhage absorption process. Methods： 100 cases with vitreous hemorrhage were randomly divided into the control group and the experiment group. The experiment group were treated with orally taken Chinese medicine,the control group with oral administration of vitamin C, K and PAMBA 0.4 g intravenous drip. 5 days was for a course of treatment, each treatment interval of two days, and continuous treatment lasted for two courses. The changes of vi- sual acuity and fundus were investigated before and after treatment. Results： The total effective rate was 91.84% in the experiment group,higher than 74.41% in the control group. There was a significant difference between two groups （P〈 0.05）. Conclusion： Stasis Sanjie method is effective on vitreous hemorrhage extent of absorption and reduces its complications and recovery of visual function of patients, worth popularizing in clinical use,