【摘要】 【目的】探讨中医药对弱视治疗仪治疗弱视疗效的影响。【方法】采用简单随机法将100例患者随机分为两组,治疗组50例(94眼),对照组50例(95眼)。对照组给予配戴合适的眼镜,双眼视力相差2行以上者加遮盖优势眼,相差2行以下的斜视患者交替遮盖左右眼,配镜后开始给予弱视治疗仪治疗。治疗组在对照组治疗的基础上同时给予健脾补肾、益精养血中药(党参、淮山、枸杞子、桑椹、菟丝子、决明子、黄精、熟地、白芍、陈皮、葛根)治疗。两组均以15 d为1个疗程,每个疗程间隔5 d,连续治疗1年后,比较两组总疗效、不同年龄段疗效和不同弱视程度疗效。【结果】治疗组痊愈69眼(占73.4%),有效21眼(22.3%),无效4眼(占4.3%),对照组痊愈58眼(占61.1%),有效25眼(占26.3%),无效12眼(占12.6%),两组比较,治疗组疗效优于对照组(P<0.05)。不同年龄段弱视疗效比较,治疗组和对照组患儿4.5~6岁组与7~8岁组的疗效比较,差异均无统计学意义(P>0.05),而上述两年龄段组的疗效均优于9岁以上组(P<0.01)。两组的轻度、中度弱视患儿疗效比较,差异均无统计学意义(P>0.05),而对于重度弱视患儿,治疗组的疗效优于对照组(P<0.05)。【结论】健脾补肾、益精养血中药能提高弱视治疗仪的治疗效果,尤其对于重度弱视的患儿更有必要进行中药治疗;本研究还显示,在儿童视觉发育关键期及敏感期(4.5~8岁)的疗效优于年长组,即儿童年龄越小,弱视的治疗效果越好。更多还原

【Abstract】 【Objective】To investigate the therapeutic effect of Chinese herbal medicine combining with the therapeutic instrument of amblyopia for the treatment of amblyopia.【Methods】One hundred amblyopia patients were divided into group A(94 eyes in 50 cases) and group B(95 eyes in 50 cases) by the method of simple randomization.Patients in group B wore appropriate glasses,and covered the eye with a better sight when the sight difference over 2 lines or covered the eyes alternatively when the sight difference below 2 lines.Meanwhile,patients in group B were treated by the curative instrument of amblyopia(micro-lightbrush).Patients in group A were treated with herbal medicine with the actions of strengthening spleen and tonifying kidney,tonifying essence and nourishing blood(Radix Codonopsis,Rhizoma Dioscoreae,Fructus Lycii,Fructus Mori,Semen Cuscutae,Semen Cassiae,Rhizoma Polygonati,Radix Rehmanniae Preparata,Radix Paeoniae Alba,pericarpium Citri Reticulatae,Radix Puerariae) additonally.Fifteen days constituted one treatment course and an interval of 5 days was between two courses.The two groups were treated for one successive year.After treatment,the total therapeutic effect,effect in different age groups and effect in patients with different degrees of amblyopia were compared between the two groups.【Results】In group A,69(73.4%) eyes were cured,21(22.3%) effective and 4(4.3%) ineffective,and 58(61.1%),25(26.3%) and 12(12.6%)in group B,respectively.The total therapeutic effect in group A was superior to that in group B(P<0.05).As for the effect on patients in different age groups,the difference of effect on patients aged 4.5～6 years and 7～8 years was insignificant between groups A and B(P>0.05),but the effect was superior to that on patients aged 9 years and older in the two groups(P<0.01).There was no significant difference between the effect on patients with mild-and moderate-degree amblyopia of the two groups(P>0.05).However,for the patients with severe amblyopia,the effect was better in group A than that in group B(P<0.05).【Conclusion】Herbal medicine with the actions of strengthening spleen and tonifying kidney,tonifying essence and nourishing blood has a synergistic action with the therapeutic instrument of amblyopia for amblyopia,in particular for severe amblyopia.It is also indicated that children with amblyopia should receive treatment as early as possible,particularly children aged 4.5～8 years.更多还原