菊黄熏眼方辅助治疗葡萄膜炎肝胆火炽证临床研究
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Clinical Study on Juhuang Eye- Fumigating Prescription in Adjuvant Therapy of Uveitis with Syndrome of Intensive Fire in Liver and Gallbladder
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    摘要:

    目的:观察菊黄熏眼方辅助治疗葡萄膜炎肝胆火炽证的疗效。方法:将92例葡萄膜炎肝胆火炽证患者随机分为对照组、观察组各46例。2组患者均予妥布霉素地塞米松滴眼液、双氯芬酸钠滴眼液适量滴眼,口服布洛芬缓释片,并给予健康教育、用药护理、生活饮食指导等综合护理措施。观察组加用菊黄熏眼方熏眼治疗。2组均治疗4周。治疗前、治疗4周后进行视力检查、眼底检查,评定中医主要症状评分。治疗4周后评价2组的葡萄膜炎疗效、视力疗效及护理满意度。结果:治疗后,观察组葡萄膜炎疗效、视力疗效均优于对照组(P<0.05)。2组前方浮游体、玻璃体炎症、眼底炎症、角膜后沉着物评分及中医主要症状积分均较治疗前降低(P<0.01),观察组4项眼底体征评分及中医主要症状积分均低于对照组(P<0.05)。观察组护理满意度高于对照组(P<0.05)。结论:在常规西药治疗与护理的基础上给予菊黄熏眼方熏眼治疗葡萄膜炎,近期可显著减轻临床症状、体征,提高患者的视力,综合疗效与患者对护理工作的满意度均得到提高。

    Abstract:

    Abstract:Objective:To observe the curative effect of Juhuang eye- fumigating prescription in the adjuvant therapy of uveitis with syndrome of intensive fire in the liver and gallbladder. Methods:A total of 92 cases of patients with uveitis with syndrome of intensive fire in the liver and gallbladder were randomly divided into the control group and the observation group, 46 cases in each group. Both groups were treated with proper amount of tobramycin dexamethasone eye drops and diclofenanc sodium eye drops, the oral administration of ibuprofen sustained- release capsules, health education, medication nursing,guidance on lifestyle and diet and other comprehensive nursing measures. The observation group was additionally treated with Juhuang eye-fumigating prescription. Both groups were treated for four weeks. Before treatment and after four-week treatment,the eyesight test and fundus examination were carried out;the scores of main Chinese medicine symptoms were evaluated. After four-week treatment,the curative effect of uveitis and eyesight,and nursing satisfaction in the two groups were evaluated. Results: After treatment, the curative effect of uveitis and eyesight in the observation group was better than that in the control group(P<0.05). The scores of eye floaters, vitreous inflammation, fundus inflammation, keratic precipitates and main Chinese medicine symptom scores in the two groups were decreased when compared with those before treatment(P<0.01), and the four scores of fundus signs above and main Chinese medicine symptom scores in the observation group were lower than those in the control group(P<0.05). The nursing satisfaction in the observation group was higher than that in the control group(P<0.05). Conclusion:Based on routine western medicine and nursing,Juhuang eye-fumigating prescription in the adjuvant therapy of uveitis can significantly relieve clinical symptoms and signs in a short term,enhance eyesight,and improve comprehensive curative effect and nursing satisfaction.

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邹萍萍,蒋婷婷,秦明明.菊黄熏眼方辅助治疗葡萄膜炎肝胆火炽证临床研究[J].新中医,2021,53(2):135-138

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  • 在线发布日期: 2021-01-27
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