小切口非超声乳化IOL植入术联合除风益损汤治疗白内障

Clinical study of small incision non-phacoemulsification and intraocular lens implantation combined with a traditional Chinese medicine in the treatment of cataract

目的:探讨小切口非超声乳化人工晶状体(intraocular lens,IOL)植入术联合除风益损汤治疗白内障的疗效及安全性。方法:将在我院接受小切口非超声乳化IOL植入术治疗的120例120眼白内障患者随机分为对照组(57例57眼)与中药治疗组(63例63眼),对照组术后主要是常规抗感染以及对症支持治疗,中药治疗组术后则是在对照组基础上再使用除风益损汤。术后1wk观察患者前房纤维蛋白渗出程度和视力情况,术后6mo观察患者疗效。结果:中药治疗组术后1wk前房纤维蛋白渗出程度显著低于对照组,差异有统计学意义(P<0.05)。术后1wk,中药治疗组视力显著高于对照组,差异有统计学意义(P<0.05)。经疗效评价,术后6mo,对照组无效26眼(45.6%),有效10眼(17.5%),显效21眼(36.8%);中药治疗组无效6眼(9.5%),有效17眼(27.0%),显效40眼(63.5%),中药治疗组治疗效果显著优于对照组,差异有统计学意义(P<0.05)。结论:小切口非超声乳化IOL植入术联合除风益损汤治疗白内障的疗效确切,安全性好。

AIM：To investigate the efficacy and safety of small incision non phacoemulsification and intraocular lens implantation combined with removing the wind and the benefit loss decoction（a traditional Chinese medicine） in the treatment of cataract.METHODS：In our hospital accepted small incision nonphacoemulsification and intraocular lens implantation in the treatment of 120 cases of cataract patients（120 eyes）were randomly divided into control group（57 cases,57cases） and traditional Chinese medicine treatment group（63 cases,63 eyes）.Control group mainly underwent conventional anti infection and symptomatic and supportive treatment after treatment.Chinese medicine treatment group was based on the control group in addition to use the wind profit loss soup.All patients were followed up for 1wk and 6mo after operation.RESULTS：The anterior chamber fibrin exudation degree of Chinese medicine treatment group was significantly lower than that of control group.The difference was statistically significant（P〈0.05）.One week after surgery,traditional Chinese medicine in the treatment of vision group was significantly higher than that of the control group,the difference was statistically significant（P〈0.05）.According to the curative effect evaluation,the control group was invalid 26 cases（45.6%）,10 cases were effective（17.5%）,effective in 21 cases（36.8%）,Chinese medicine treatment group was invalid in 6 cases（9.5%）,effective in 17 cases（27.0%）,40 patients were cured（63.5%） and traditional Chinese medicine therapeutic effect of the treatment group was significantly better than the control group,the difference was statistically significant（P〈0.05）.CONCLUSION：Small incision non phacoemulsification and intraocular lens implantation combined with removal of the wind and the benefit loss decoction is effective and safe in the treatment of cataract.