第19卷第3期2020年6月
Vol.19No.3
Jun.2020浙江医学教育
Zhejiang Medical Education
•基础与临床研究•
自拟活血利水方对视网膜脱离复位术后
视功能恢复的效果分析
郝建春，洪献飞
(金华市中医医院，浙江金华321017)
摘要：目的：分析自拟活血利水方对视网膜脱离(RD)复位术后视功能恢复的影响。方法：将64例RD复位术后伴黄斑区积液的患者随机分为治疗组与对照组，各32例。对照组采用常规西医对症治疗，治疗组同时给予自拟活血利水方治疗，疗程1个月。比较2组患者视力及眼底恢复、黄斑下积液吸收情况。结果：
童话故事书治疗组患者logMAR视力显著高于对照组,2组患者logMAR视力均随治疗时间延长而升高，组间与时间存在交互作用(P<0.05)o治疗组治疗后1个月、3个月矫正视力显著高于对照组(P<0.05)；与对照组比较，治疗组黄斑下方积液吸收时间明显缩短(P<0.05)；治疗后1个月，治疗组眼底恢复显著优于对照组(P<0.05)o治疗组眼底恢复的总有效率为91.18%，显著高于对照组69.70%(P<0.05)o结论：自拟活血利水方可加快RD复位术后黄斑下视网膜积液的吸收和视网膜复位，促进视功能的恢复。
关键词：视网膜脱离；视功能；活血利水；视网膜下积液
中图分类号:R774.1+2文献标识码:B文章编号:1672-0024(2020)03-0061-03
年会领导发言稿Clinical Effect of Self-Made HuoxueLishui for Visual Function Recovery in
Patients Underwent Retinal DetachmentSurgery
安全培训总结HAO Jianchun,HONG Xianfei
(Jinhua Hospital of TCM,Zhejiang321017,China)
Abstract:[Objective]To explore clinical effect of lf-made HuoxueLishui for visual function recoveiy in patients underwent retinal detachment(RD)surgery.[Method]64patients underwent RD surgeiy were r第六书包
andomly divided into two groups.Control group(n=32)was treated with general western medicine.On this basis,treatment group(n=32)was treated with lf-made HuoxueLishui.The treatment cour was1month.The recoveiy of visual acuity and fundus,subretinal fluid absorption in two groups after treatment were obrved and compared.[Result]LogMAR visual acuity of patients in the treatment group was significantly higher than that in the control group.LogMAR visual acuity of patients in both groups incread with the duration of treatment,and there was an interactive effect between treatment and time(P<0.05).Corrected visual acuity in treatment group at1,3months after treatment were significantly higher than tho in control group(P<0.05).Compared with control group, time of subretinal fluid absorption in treatment group was significantly shortened(P<0.05).At1month after treatment,the total effective rate of fundus recovery in the treatment group was91.18%,significantly higher than69.70%of the control group (P<0.05).[Conclusion]Self-made HuoxueLishui can accelerate retinal effusion absorption and retina ret after RD,promote the recoveiy of visual function.江南乌镇
水乳精华的顺序
Key words：retinal detachment;visual function;HuoxueLishui;retinal effusion
视网膜脱离(retinal detachment,RD)是一种因视网膜神经上皮层与色素上皮层相互分离导致视网膜下积液聚集的一种眼科疾病，多表现为孔源性视网膜脱离，具有发病急、进展快、致盲率高等特点⑴。
手术复位是目前最有效的治疗手段，术后解剖复位率可达95%以上，但累及黄斑后即使复位成功，患
趣味高尔夫
作者简介：郝建春(1971-)，女，山西原平人，本科，主治中医师。研究方向：中医治疗眼底疾病
马帮
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