中西医结合治疗视神经炎94例临床观察

Clinical observation on 94 cases of optic neuritis treated with combination of Chinese traditional and Western medicine

目的:探讨丹栀逍遥散联合常规西医疗法在视神经炎治疗中的临床疗效。方法:2010年3月-2012年10月收治视神经炎患者94例(102眼),将其随机分成观察组及对照组,各47例。对照组(50眼)给予糖皮质激素为主的常规西医药物治疗,观察组(52眼)在对照组的基础上,给予口服丹栀逍遥散加减方,1剂/d,水煎服,连服1个月。比较两组的临床疗效。结果:对照组中,11眼治愈,13眼显效,19眼有效,7眼无效,总有效率86.0%;观察组中,16眼治愈,17眼显效,17眼有效,2眼无效,总有效率96.2%,两组总有效率比较差异有统计学意义(P<0.05)。结论:丹栀逍遥散联合常规西医疗法在视神经炎治疗满意,值得临床推广应用。

Objective:To investigate the clinical effect of Danzhixiaoyao powder combined with conventional western medicine in the treatment of optic neuritis.Methods:94 patients with optic neuritis(102 eyes) were selected from March 2010 to October 2012.They were randomly divided into the observation group and the control group with 47 cases in each.The control group(50 eyes)were treated with conventional western medicine treatment primary in glucocorticoid.The observation group(52 eyes) added with oral administration of Danzhixiaoyaosan decoction on the basis of glucocorticoid,1 dose per day,decocted in water for oral dose,lasted for 1 months.Then we compared the clinical efficacy between the two groups.Results:In the control group,11 eyes were cured;13 eyes markedly effective;19 eyes effective;7 eyes invalid;the total effective rate was 86%.In the observation group,16 eyes were cured;17 eyes markedly effective;17 eyes effective;2 eyes invalid;the total effective rate was 96.2%.The difference of total effectiveness comparisons of two group was statistically significante(P<0.05).Conclusion:Danzhixiaoyao powder combined with conventional western medicine in the treatment of optic neuritis have an satisfactory effect,so it is worthy of clinical application.