【摘要】：目的:觀察龍膽瀉肝湯輔助治療邊緣性角膜炎的臨床療效及復(fù)發(fā)情況。方法:將29例32眼肝膽濕熱型邊緣性角膜炎患者隨機分為2組,對照組14例14眼,予常規(guī)局部抗炎治療;治療組15例18眼,在對照組治療的基礎(chǔ)上加用龍膽瀉肝湯輔助治療,療程為1周,隨訪1月,觀察2組臨床療效及復(fù)發(fā)情況。結(jié)果:治愈率、愈顯率治療組分別為72.22%、94.44%,對照組分別為14.29%、78.57%。2組臨床療效比較,經(jīng)Fisher精確概率法檢驗,差異有統(tǒng)計學(xué)意義(P0.05)。治療組患者口干口苦、咽喉腫痛癥狀好轉(zhuǎn)率高于對照組(P0.05),失眠、便秘好轉(zhuǎn)率2組差異無統(tǒng)計學(xué)意義(P0.05)。隨訪1月,愈顯率、復(fù)發(fā)率治療組分別為100%、5.56%,對照組分別為85.71%、11.11%,2組比較,差異均無統(tǒng)計學(xué)意義(P0.05)。結(jié)論:龍膽瀉肝湯輔助治療邊緣性角膜炎近期療效肯定。
[Abstract]:Objective: to observe the clinical effect and recurrence of Longdan Xiegan decoction in the treatment of marginal keratitis. Methods: 29 patients (32 eyes) with hepatobiliary dampness-heat marginal keratitis were randomly divided into two groups: control group (14 eyes) and control group (14 eyes). 18 eyes of 15 patients in the treatment group were treated with Longdan Xiegan decoction on the basis of treatment in the control group. The course of treatment was 1 week and followed up for 1 month. The clinical efficacy and recurrence of the two groups were observed. Results: the cure rate and the more obvious rate were 72.22% and 94.44% in the treatment group and 14.29% in the control group, and 78.57% .2 in the control group. The difference was statistically significant by Fisher exact probability method (P 0.05). The improvement rate of dry mouth and sore throat in the treatment group was higher than that in the control group (P 0.05). There was no significant difference in the improvement rate of insomnia and defecation between the two groups (P 0.05). After 1 month follow-up, the recurrence rate was 100%, 5.56% in the treatment group and 85.71% and 11.11% in the control group, respectively. There was no significant difference between the two groups (P 0.05). Conclusion: Longdan Xiegan decoction is effective in the treatment of marginal keratitis in the near future.
【作者單位】： 廣州中醫(yī)藥大學(xué)第一附屬醫(yī)院眼科;
【分類號】：R772.21

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