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目的:观察中西医结合治疗前部缺血性视神经疾病的疗效。方法:将60例前部缺血性视神经病变患者随机分为两组,治疗组30例予中医辨证论治、复方血塞通静脉滴注、复方樟柳碱颞浅注射及球后注射地塞米松、山莨菪碱;对照组30例应用球后注射地塞米松和山莨菪碱治疗。分析治疗前和治疗后两组视力和视野的改善情况,并观察后期眼底改变。结果:两组视力改善有效率比较,差异有统计学意义(P<0.05),治疗组优于对照组;两组的视野缺损改善有效率比较,差异有统计学意义(P<0.05),治疗组优于对照组。后期眼底改变:视盘色淡、视神经萎缩、血管白鞘出现率比较,差异均有统计学意义(P<0.05),治疗组低于对照组。结论:中西医结合治疗缺血性视神经疾病有较好临床疗效。
Objective: To observe the treatment of anterior ischemic optic neuropathy with integrated traditional Chinese and western medicine. Methods: Sixty patients with anterior ischemic optic neuropathy were randomly divided into two groups. The treatment group was treated with syndrome differentiation based on traditional Chinese medicine (TCM), compound Xuesai Tong intravenous injection, compound anisodine temporal shallow injection and retrobulbar injection of dexamethasone. Anisodamine was administered in the control group. 30 cases in the control group were treated with dexamethasone and anisodamine injection. Analysis before and after treatment, visual acuity and visual field in both groups to improve the situation and to observe the late fundus changes. Results: There was significant difference between the two groups (P <0.05), and the treatment group was better than the control group. There was significant difference between the two groups in the improvement of visual field defect, the difference was statistically significant (P <0.05) Group better than the control group. Late fundus changes: optic disc fade, optic atrophy, the incidence of vascular sheaths, the differences were statistically significant (P <0.05), the treatment group was lower than the control group. Conclusion: The combination of traditional Chinese and Western medicine for the treatment of ischemic optic neuropathy have better clinical efficacy.