本文選題：銀杏葉 + 眼鈍挫傷�。� 參考：《福建中醫(yī)藥大學(xué)》2014年碩士論文

【摘要】：目的：通過觀察銀杏葉膠囊輔助治療VEP異常眼鈍挫傷的臨床療效,評(píng)價(jià)銀杏葉輔助治療的應(yīng)用價(jià)值。 方法：觀察2012年4月至2014年1月在我院就診的VEP異常的眼鈍挫傷患者,共41例(41眼)。隨機(jī)分為銀杏葉組21例(21眼)和對(duì)照組20例(20眼),兩組予以常規(guī)治療,銀杏葉組加用銀杏葉膠囊,療程4周。觀察比較兩組臨床療效,并對(duì)兩組治療前后的最佳矯正視力(BCVA)、視覺誘發(fā)電位(VEP)潛伏期值、波幅進(jìn)行比較。應(yīng)用SPSS18.0對(duì)數(shù)據(jù)進(jìn)行統(tǒng)計(jì)分析,P0.05為有統(tǒng)計(jì)意義。 結(jié)果： 1.可比性分析：VEP異常眼鈍挫傷患者41例(41眼),其中男性34例(82.93%),女性7例(17.07%)。年齡18-48歲,平均31.22±9.43歲。右眼18例(43.90%),左眼23例(56.10%)。致傷原因：拳頭、石頭、木棍等撞擊傷23例(56.10%),車禍傷7例(17.07%)摔傷6例(14.63%),其他5例(12.20%)；就診時(shí)間：最短時(shí)間為外傷后半小時(shí),最長(zhǎng)為外傷后2天,半小時(shí)至6小時(shí)者24例(58.54%),6小時(shí)至1天者7例(17.07%),超過1天者10例(24.39%)；就診時(shí)最佳矯正LogMAR視力：光感3眼(7.31%),手動(dòng)10眼(24.40%),指數(shù)5眼(12.20%),3.0-3.9者1眼(2.44%),4.0-4.9者22眼(53.65%),兩組患者性別、年齡、就診時(shí)間、就診時(shí)LogMAR視力、潛伏值與波幅經(jīng)統(tǒng)計(jì)學(xué)分析差異無統(tǒng)計(jì)學(xué)意義(P0.05),具有可比性。 2.治療前視覺誘發(fā)電位分組比較：A組：視力≥0.1者,行圖形視覺誘發(fā)電位檢查；B組：視力0.1者,行閃光視覺誘發(fā)電位檢查。兩組患者受傷眼與對(duì)側(cè)眼的潛伏期和波幅比較差異有統(tǒng)計(jì)學(xué)意義(P0.05)。 3.視力比較：兩組受傷眼經(jīng)治療后LogMAR視力與治療前比較差異有統(tǒng)計(jì)學(xué)意義(P0.05)。 4.療效比較：銀杏葉組總有效率(85.71%)優(yōu)于對(duì)照組(75.00%),兩者差異具有統(tǒng)計(jì)學(xué)意義(Z=-2.026,P=0.0430.05)。 5.治療后P100潛伏期、波幅變化情況比較：銀杏葉組治療后受傷眼與其對(duì)側(cè)眼P100潛伏期、波幅比較差異無統(tǒng)計(jì)學(xué)意義(P0.05),對(duì)照組P100潛伏期、波幅比較差異有統(tǒng)計(jì)學(xué)意義(P0.05)。 結(jié)論： 1.眼鈍挫傷患者的視覺誘發(fā)電位(VEP)檢查結(jié)果異常,不但明確了視路的損傷,并且能進(jìn)一步判定其受損的程度。 2.經(jīng)治療后兩組患者視力較治療前均有所好轉(zhuǎn),因此采取及時(shí)、有效的治療,對(duì)患者傷后視功能的恢復(fù)尤其重要。 3.銀杏葉組臨床療效優(yōu)于對(duì)照組,說明銀杏葉對(duì)加快患者視功能的恢復(fù),起到相輔相成的作用。
[Abstract]:Objective: to observe the clinical effect of ginkgo leaf capsule in the treatment of VEP abnormal ocular contusion and evaluate the application value of ginkgo leaf adjunct therapy. Methods: from April 2012 to January 2014, 41 cases of blunt eye contusion with abnormal VEP were observed. Ginkgo biloba group (21 cases, 21 eyes) and control group (20 cases, 20 eyes) were randomly divided into two groups. The two groups were treated with routine therapy. Ginkgo biloba group was treated with Ginkgo biloba capsule for 4 weeks. To observe and compare the clinical efficacy of the two groups, and to compare the latency and amplitude of BCVAV, VEP before and after treatment. Using SPSS18.0 to carry on the statistical analysis to the data has the statistical significance. Results: 1. The comparative analysis of 41 cases (41 eyes) with abnormal blunt eye contusion of VEP included 34 cases of male (82.933%) and 7 cases of female (7 cases). The average age was 31.22 鹵9.43 years. The right eye (n = 18) and left eye (n = 23) were involved in 43.90 and 56.10 respectively. Causes of injury: fist, stone, stick and other impact injuries in 23 cases (56.1010), car accident (7 cases) 17.07) fall in 6 cases (14.63%) and other 5 cases (12.20%) the shortest time of seeing a doctor is half an hour after injury, and the longest time is 2 days after injury. From half hour to 6 hour, 24 cases (58.54 hours, 6 hours to 1 day), 7 cases (17.07%), 10 cases (more than one day) with 24.399.The best corrected LogMAR visual acuity was: light sensation 3 eyes (7.31), manual 10 eyes (24.400), index 5 eyes 12.203.0-3.9 (1 eye) 2.440-4.9 22 eyes 53.650.The two groups had sex, age, time to visit. The visual acuity, latent value and amplitude of LogMAR were comparable. 2. Comparison of visual evoked potentials before treatment in group A: visual acuity 鈮，

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