[关键词]
[摘要]
目的:探讨小梁切除术联合复方血栓通胶囊对急性闭角型青光眼患者视功能损害的影响。
方法:选取2010-03/2014-10期间我院收治的100例120眼急性闭角型青光眼患者,按照双盲法将其分为观察组和对照组,观察组患者52例60眼行小梁切除术联合复方血栓通胶囊治疗,对照组患者48例60眼行单纯小梁切除术治疗,观察并对比术后3mo两组患者的视力及视野恢复情况。
结果:术后3mo,所有患者眼压降至正常范围,观察组视力较术前增加(0.16±0.02),而对照组增加(0.09±0.01),差异具有统计学意义(P<0.05); 观察组的视力疗效总有效率(96.7%)显著高于对照组(83.3%),差异具有统计学意义(P<0.05); 观察组视野疗效总有效率为96.7%,明显高于对照组的83.3%,差异具有统计学意义(P<0.05)。观察组并发症发生率(1.7%)明显低于对照组(16.7%), 差异具有统计学意义(P<0.05)。
结论:小梁切除术联合复方血栓通胶囊治疗急性闭角型青光眼患者,能有效提高其视力、改善视野、降低并发症发生率。
[Key word]
[Abstract]
AIM:To discuss and study the effect of trabeculectomy combined with compound Xueshuantong capsules on visual function damage in patients with acute angle-closure glaucoma.
METHODS:One hundred patients(120 eyes)with acute angle-closure glaucoma treated in our hospital from March 2010 to October 2014 were selected, which were divided according to the double blind method into the observation group and the control group. Fifty-two cases(60 eyes)of the observation group were treated with trabeculectomy combined with compound Xueshuantong capsules, 48 cases(60 eyes)of the control group were treated with trabeculectomy. Visual acuity and visual field recovery in the two groups were compared.
RESULTS:At 3mo after operation, intraocular pressure(IOP)returned to normal, the visual acuity of observation group increased by 0.16±0.02, which of control group increased by 0.09±0.01, and the difference was significant(P<0.05).The total effective rate of visual acuity was 96.7% in the observation group and 83.3% in the control group, and the total effective rate of visual field was 96.7% in the observation group, and 83.3% in the control group. The total effective rates of visual acuity and visual field in the observation group were significantly higher than those in the control group(both P<0.05).The incidence of complications in the observation group(1.7%)was significantly lower than that in the control group(16.7%, P<0.05).
CONCLUSION:Trabeculectomy combined with compound Xueshuantong capsules for patients with acute angle-closure glaucoma can effectively improve the visual acuity, expand the scope of vision, and reduce the incidence of complications.
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