摘要
目的:观察中西医结合方法治疗角膜内皮炎的疗效。方法:收集2013年1月至2016年2月角膜内皮炎患者41眼,随机分为两组,治疗组21例采用中西医结合的方法,对照组20例采用单纯西医治疗,观察治疗效果及角膜内皮细胞的变化。结果:治疗组所有病例经治疗1周后明显好转,眼压控制;2周后治愈者13例;4周后治愈者6例,2例5周后治愈;其中1例复发。对照组所有病例经治疗1周后明显好转,2周后治愈16例,4周后治愈2例,1例5周、1例7周后治愈;其中继发眼压升高者6例,5例复发。采用不同的治疗方法,角膜内皮细胞的密度、变异率均较治疗前好转。结论:采用中医辨证论治联合西药的方法,治疗角膜内皮炎效果显著,不仅缩短了病程,减轻毒副作用,有效减少耐药性的产生,并可积极防止复发,值得探讨和推广。
Objective ： To observe the curative effect of combining traditional Chinese and western medicine in the treatment of corneal dermatitis. Methods ： The clinical datas of totle 41 patients, 41 eyes, with corneal dermatitis were collected between January 2013 and February 2016, randomly divided into two groups： treatment group （21 cases with the method of combining tra- ditional Chinese and western medicine）, and controlled group （20 patients with pure western medicine treatment）, observed the curative effects and the change of corneal endothelial cells. Results ： All cases of the treatment group were obviously better after threapy for one week, the intra-ocular pressure was under control. 13 cases were cured after threapy for two weeks; 6 cases were cured after threapy for four weeks; 2 cases were cured after threapy for five weeks. One case of all had a relapse. All cases of the controlled group were obviously better after threapy for one week. 16 cases were cured after threapy for two weeks; g cases were cured after threapy for four weeks ; 1 cases were cured after threapy for five weeks ; 1 cases were cured after threapy for seven weeks. Five cases of all had a relapse, and the intra-ocular pressures of six cases were secondarily above the normal. The density of corneal endothelial cells and coefficient of variation were better after using different treatment methods. Conclusions：Combined therapy of traditional Chinese medicine and western medicine is effective in corneal endotheliitis with high cure rate, short treatment period and great clinical application value.
出处
《四川中医》
2017年第6期175-178,共4页
Journal of Sichuan of Traditional Chinese Medicine
关键词
角膜内皮炎
疗效
角膜内皮细胞
辨证论治
中西医结合
Corneal dermatitis
Curative effect
Corneal endothelial cell
Syndrome differentiation and treatment
Combining traditional Chinese and western medicine.
