中西医结合治疗眼眶骨折致眼眶瘀肿及眶下神经知觉障碍临床观察

Clinical Observation of Treatment of Orbital Swelling,Blood Stagnation and Infraorbital Nerve Sensory Disturbance Caused by Orbital Fracture with Integrated Traditional Chinese Medicine and Western Medicine

目的 ：观察早期运用中西医结合疗法治疗眼眶骨折致眼眶瘀肿及眶下神经知觉障碍的临床疗效。方法 ：将76例（82眼）眶骨骨折患者按随机数字表法分为对照组和治疗组各38例（41眼）。对照组予抗生素、地塞米松静脉滴注,B族维生素及甲钴胺片口服,并对症治疗;治疗组在对照组的基础上辨证运用自拟经验方眼眶骨折1号方、眼眶骨折2号方。观察两组治疗后眼眶瘀肿及眶下神经知觉障碍改善情况,综合评价疗效。结果：治疗组软组织肿胀、眼睑瘀血、结膜下瘀血平均消退时间均短于对照组,差异有统计学意义（P〈0.05）。眶下神经知觉障碍改善情况,治疗组显效6例,有效12例,无效0例,总有效率100%;对照组显效2例,有效12例,无效6例,总有效率70%;治疗组疗效明显优于对照组,差异有统计学意义（P〈0.05）。结论：早期运用中西医结合疗法治疗眶骨骨折安全、有效,能加快眶周软组织损伤修复,缩短眼眶瘀肿消退时间,改善眶下神经知觉障碍。与单纯西医治疗比较,中西医结合疗法能缩短疗程、提高临床疗效。

Objective ：To observe the clinical curative effect of early application of integrated traditional Chinese medicine and western medicine on orbital swelling,blood stagnation and infraorbital nerve sensory disturbance caused by orbital fracture, nethods：A total of 76 patients with 82 injured eyes suffered from orbital fracture were randomly divided into control group and treatment group by the random number table. Each group had 38 patients with 41 injured eyes. The control group was treated with intravenous perfusion of antibiotics and dexamethasone,oral administration of B vitamins and mecobalamin tablets,as well as other symptomatic treatments. The treatment group,besides the treatments of the control group,was prescribed self-made No.1 proved recipe of orbital fracture and No.2 proved recipe of orbital fracture. After the treat- ment,the amelioration of orbital swelling,blood stagnation and infraorbital nerve sensory disturbance was observed and the curative effect was evaluated. Results：The average regression time of soft tissue swelling, palpebral blood stagnation and subconjunctival blood stagnation of the treatment group was shorter than that of the control group. The difference was statistically significant（P〈0.05）. For the comparison of the amelioration of infraorbital nerve sensory disturbance,in the treatment group,the treatments were obviously effective on 6 cases,effective on 12 cases,ineffective on 0 case,and the total effective rate was 100.0%,while in the control group,the corresponding data were 2,12,6 and 70.0%. Therefore,the curative effect of the treatment group was better than that of the control group and the difference was statistically significant（P〈0.05）.Conclusion：Early application of integrated traditional Chinese medicine and western medicine for treatment of orbital fracture is safe and effective. It can accelerate the repair of the damaged soft tissue around the orbit,shorten the process of the regres-sion of orbital swelling and blood stagnation and ameliorate the infraorbital nerve sensory disturbance. Com- pared with only treating with western medicine,the integrated traditional Chinese medicine and western medicine can shorten the process of treatment and improve the clinical curative effect.