五苓散结合补阳还五汤加减治疗白内障术后黄斑水肿的临床疗效

Clinical effect of Wuling powder combined with Buyang Huanwu decoction on macular edema after cataract surgery

目的分析白内障术后黄斑水肿应用五苓散结合补阳还五汤加减治疗的效果。方法选取2017年1月至2018年1月本院收治的白内障术后黄斑水肿患者80例(80眼),随机分为两组,各40例。对照组应用常规药物治疗,研究组在此基础上应用五苓散合补阳还五汤治疗,比较两组治疗效果。结果两组治疗后的BCVA、CST、平均厚度与总体积比较,差异具有统计学意义(P<0.05)。研究组治疗有效率为95.0%,对照组有效率为75.0%,对比差异具有统计学意义(P<0.05)。结论白内障术后黄斑水肿采用五苓散与补阳还五汤加减治疗,可有效缓解患者临床症状,提高临床治疗有效率,值得推广。

Objective To analyze the effect of Wuling powder combined with Buyang Huanwu Decoction on macular edema after cataract surgery. Methods From January 2017 to January 2018, 80 patients(80 eyes) with macular edema after cataract surgery in our hospital were randomly divided into two groups, with 40 cases in each group. The control group was treated with routine drugs, and the research group was treated with Wuling San and Buyang Huanwu decoction on this basis. The therapeutic effects of the two groups were compared. Results There was significant difference in BCVA, CST, mean thickness and total volume between the two groups after treatment(P<0.05). The effective rate was 95.0% in the research group and 75.0% in the control group, the difference was significant(P<0.05). Conclusion The treatment of macular edema after cataract surgery with Wuling powder and Buyang Huanwu decoction can effectively alleviate the clinical symptoms of patients and improve the clinical treatment efficiency, which is worthy of promotion.