Clinical effect of tonifying kidney and promoting blood circulation method combined with Mecobalamine Tablets in intervention of glaucoma after intraocular pressure control
WANG Tao HE Xiaozhang LAN Ting HE Qiong HE Jianzhong LAI Wei QIU Yanfei
Department of Ophthalmology,Pingxiang People's Hospital,Jiangxi Province,Pingxiang 337000,China
Abstract：Objective To investigate the safety and efficacy of tonifying kidney and promoting blood circulation method combined with Mecobalamin Tablets in the treatment of glaucoma after intraocular pressure control,and to provide more clinical means and ideas for the treatment of glaucoma after intraocular pressure control with integrated traditional Chinese and western medicine.Methods A total of 60 patients diagnosed as glaucoma after intraocular pressure control in the Department of Ophthalmology,Pingxiang People's Hospital from January 2018 to December 2022 were selected as the study objects.According to the order of treatment,the patients were divided into treatment group (30 cases) and control group(30 cases).The control group was given Mecobalamine Tablets orally only.On the basis of the control group,the treatment group was given oral tonifying kidney and promoting blood circulation traditional Chinese medicine.Both groups were treated for 3 months.The changes of visual acuity,intraocular pressure,visual field and traditional Chinese medicine syndrome score were compared between the two groups.Results Twenty-eight patients (45 eyes)in the control group and 26 patients(44 eyes) in the treatment group completed the observation.There were no significant differences in intraocular pressure and visual acuity between the two groups before and after treatment (P＞0.05).The vision mean sensitivity (MS)of the two groups after treatment were higher than those before treatment,and the differences were statistically significant (P＜0.05).The mean defect(MD),loss variance(LV),visual field defect scores and traditional Chinese medicine syndrome scores of the treatment group after treatment were lower than those before treatment,and the differences were statistically significant(P＜0.05).There were no statistically significant differences in MD,LV,visual field defect scores and traditional Chinese medicine syndrome scores in the control group before and after treatment(P＞0.05).Conclusion Tonifying kidney and promoting blood circulation method combined with Mecobalamin Tablets in the treatment of glaucoma after intraocular pressure control is helpful to improve visual acuity and visual sensitivity,effectively control visual field defects,improve the symptoms of traditional Chinese medicine,and provide a new idea for the protection of visual function in patients with glaucoma after intraocular pressure control.
王桃； 贺小张； 兰婷； 何琼； 何建中； 赖伟； 邱艳飞. 补肾活血法联合甲钴胺片干预眼压控制后青光眼的临床效果[J]. 中国当代医药, 2024, 31(17): 78-82.
WANG Tao HE Xiaozhang LAN Ting HE Qiong HE Jianzhong LAI Wei QIU Yanfei. Clinical effect of tonifying kidney and promoting blood circulation method combined with Mecobalamine Tablets in intervention of glaucoma after intraocular pressure control. 中国当代医药, 2024, 31(17): 78-82.
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