目的：探究葛根素联合卵磷脂络合碘片对眼底出血患者止血效果的影响。

方法：选取2016-04/2017-03在我院就诊的眼底出血患者66例100眼，使用完全随机法将患者随机分为A组和B组，各33例50眼。A组给予卵磷脂络合碘片治疗，B组使用葛根素联合卵磷脂络合碘片治疗。两组均接受3个疗程的治疗。检测治疗前后血浆黏度指标、血清同型半胱氨酸(Hcy)、总胆固醇(TC)和甘油三酯(TG)水平变化，统计两组患者眼底出血治疗效果和不良反应发生率。

结果：治疗前两组患者血浆黏度、血清Hcy、TC和TG指标无差异(P>0.05)。治疗后，两组患者的全血黏度高切、全血黏度低切、血浆黏度、Hcy、TC和TG均低于治疗前(P<0.001)； 与A组比较，B组患者全血黏度高切、全血黏度低切、血浆黏度、Hcy、TC和TG均降低(P<0.05)。B组患者较A组治疗总有效率增高(P<0.05)。两组患者均发生不同程度的甲状腺变化、胃肠道反应、精神兴奋和腹胀，两组患者不良反应生率无差异(P>0.05)。

结论：葛根素联合卵磷脂络合碘片治疗眼底出血患者疗效显著，与改善患者血浆黏度、降低血清Hcy、TC和TG有关。

METHODS: Totally 66 patients with fundus hemorrhage who entered into our hospital from April 2016 to March 2017 were collected and randomly divided into 2 groups: group A and group B, 33 cases(50 eyes)in each group. Group A was treated with lecithin complex iodine tablets, and group B was treated with puerarin combined with lecithin complex iodine tablets. Plasma viscosity index, serum homocysteine(Hcy), total cholesterol(TC)and triglyceride(TG)were measured and compared within 2 groups. The therapeutic effects and adverse reactions were compared between 2 groups.

RESULTS: Before treatment, there were no significant differences in plasma viscosity, serum Hcy, TC and TG between 2 groups(P>0.05). After treatment, the high blood viscosity, low blood viscosity, low plasma viscosity, plasma viscosity, Hcy, TC and TG in 2 groups had decreased than before treatment(P<0.001). Compared with group A, the high blood viscosity, low blood viscosity, plasma viscosity, Hcy, TC and TG had decreased(P<0.05). The total effect of group B were better than group A(P<0.05). The adverse reaction like thyroid changes, gastrointestinal reactions, mental excitement and bloating happened in 2 groups. There was no significant difference in the adverse reaction rate between 2 groups(P>0.05).

CONCLUSION: The efficacy of puerarin combined with lecithin complex iodine tablets in the treatment of fundus hemorrhage is significant, which is related to improving plasma viscosity and decreasing serum Hcy, TC and TG.