文档介绍：中西医结合治疗中晚期青光眼的临床研究
伍长春 [摘要] 目的:通过观察临床中晚期青光眼患者的病情,采取有效的中西医结合疗法对中晚期青光眼进行临床治疗。方法:本研究先采用术前局部与全身用降眼压药以降低患者的眼压、减少术后并发症,然on and reduce postoperative complications. Then we made use of complex salvia miltiorrhiza injection and energy mixture to improve optic nerve ischemia, oxygen-poor,at the same time operated trabeculectomy. Results: After treating patients of middle and late stages of glaucomas for 1 month, the result showed most patients had a good recovery from the illness. 12(16 eyes) patients had an obvious improvement in sight, and 7(10 eyes) patients got better. But another 9(12 eyes)patients' condition did not change. Conclusion: Treating patients in the early days of the operation can open up a new way to treat glaucoma.
[Key words] Conbined treatment of traditional Chinese medicine and western medicine;Middle and late stages of glaucoma;Intra-ocular tension
青光眼是一种致盲率高、病因不清、临床表现极为复杂的常见眼病。青光眼已成为我国当前主要致盲三大眼病之一。但是由于青光眼起病的隐匿性,以及患者对疾病的认识不足,往往在发现疾病时已到了青光眼的中晚期,给治疗带来一定的困难和限制。对中晚期青光眼患者一般主张手术治疗,通过手术控制眼压、解除青光眼发病机制中最危险的高眼压因素[1]。但是中晚期管状视野患者手术治疗又有一定的风险。2003年以来,我科应用中西医结合的方法治疗中晚期青光眼患者28例(38只眼),取得了较好的疗效,现将结果报道如下:
1 资料与方法
临床资料
中西医结合治疗中晚期青光眼患者共28例(38只眼),男16例(22只眼),女12例(16只眼);年龄25~83岁,平均53岁;病程最长10年,最短半年。28例(38只眼)患者中慢性闭角型青光眼12例(16只眼);慢性开角型青光眼10例(12只眼);急性闭角型青光眼4例(6只眼);单纯性青光眼2例(4只眼)。选择观察对象的标准:①眼压在4 kPa以上;②有典型的视野缺损或管状视野;③有不同程度的角膜水肿、虹膜萎缩并瞳孔散大;④视乳头生理凹陷增大。C