目的:研究除风益损汤加味治疗小切口非超声乳化白内障摘除术后角膜水肿的临床疗效。方法:将90例90眼行小切口非超声乳化老年性白内障摘除术后发生角膜水肿的患者随机分为治疗组和对照组,每组45例45眼,治疗组在对照组常规治疗基础上,另服用除风益损汤加味,对照组采用常规治疗,均治疗1wk为1疗程,2个疗程后观察两组的矫正视力、临床疗效。结果:治疗组矫正视力为0.66±0.26,对照组为0.54±0.21,比较差异有统计学意义(P<0.05),治疗组矫正视力高于对照组;治疗组总有效率97.8%,对照组91.1%,差异有统计学意义(P<0.05),治疗组优于对照组。结论:除风益损汤加味治疗小切口非超声乳化白内障摘除术后角膜水肿疗效确切,值得推广应用。

·AIM:To study the clinical curative effect of chufeng-yisun decoction for corneal edema after small incision non-phacoemulsification cataract surgery.·METHODS:Ninety patients(90 eyes)with corneal edema after small incision non-phacoemulsification cataract surgery were devided into two groups randomly.The treatment group included 45 patients(45 eyes)who were treated by chufengyisun decoction,combined conventional treatment;while the contrast group included 45 patients(45 eyes)who were only treated by wit conventional treatment.1 week for all patients treated was 1 course of treatment.The difference of corrected vision and the recurrence rate were observed and compared after 2 courses of treatment.·RESULTS:After treatment,corrected vision of the treatment group was 0.66±0.26,the contrast group was 0.54±0.21,the difference was statistically significant(P<0.05),the corrected vision of treatment group was higher than that of control group;Total effective rate of the treatment group was 97.8%,the contrast group was 91.1%,the difference was statistically significant(P<0.05),the total effective rate of treatment group was better than that of control group.·CONCLUSION:It is effective to treat corneal edema after small incision non-phacoemulsification cataract surgery by chufengyisun decoction adding more drugs,and worth promoting.·

R276.7