| Objective:Review of Integrated Traditional and Western cases of high myopia macular hemorrhage, evaluate the therapeutic effect, summed up the experience card-type laws and clinics.Methods:All subjects were derived from Chinese medicine hospital in Hubei Province from June 2009 to March 2011 between the clinics and patients.Select which follow a good 36 to 72 years in 42 patients (48 eyes) as the object of observation to observe the effect. According to the clinical manifestations are divided into three phases, early (bleeding period), medium (stationary phase bleeding) and late (machine of the period), all give siwu soup joint wolitin treatment.At one week, two weeks, three weeks, surrounded by hand to check the best corrected visual acuity and fluorescence angiography (FFA).Evaluation standard:According to "National Traditional Chinese Medicine Syndrome industry standard diagnostic efficacy of the standard" for the therapeutic efficacy standards. Cure:complete absorption of macular hemorrhage, visual acuity recovered to premorbid visual acuity; markedly:Tomb of the absorption of macular hemorrhage, visual acuity above 2 lines; effective:some absorption of macular hemorrhage, visual acuity improved O-1 line; invalid:macularbleeding slowly absorbed or not absorbed, or recurrent bleeding, vision is not increased or decreased.Results:1 visual change:Before treatment, corrected visual acuity minimum 20/HM, up to 0.2; treatment, corrected visual acuity minimum 50/CF, up to 0.7.The paired t test, P<0.01, statistically highly significant meaning.Comparison of simple eyes with macular hemorrhage (5 eyes) and neovascularization-type eyes with macular hemorrhage (43 eyes), simple-type eyes with macular hemorrhage after treatment with different degree of improvement in visual acuity, visual acuity improved 1 line 1(20%), increased more than 2 lines and 4 eyes (80%).The type of macular hemorrhage associated with risk of neovascular eye 3 months after treatment, visual acuity less than 2 lines of 14 eyes (:13.9%), visual acuity improved 2 lines or more were 25 eyes (58.1%), unchanged in 4eyes (7.1%), decreased in 1 eye (2.3%).X2 test, p<0.01, there are very significant.Combination of TCM and found that both types of simple or neovascular macular hemorrhage, thermal injury syndrome as a virtual network card more.After treatment of simple eyes with visual acuity improvement in a short time on_; new treatment of vascular eye longer suffering, and Chinese medicine treatment of high myopia macular hemorrhage treatment for 3 months over treatment of a general visionmonths of good.In new macular hemorrhage in the vascular, liver and kidney deficiency permits improved visual acuity was significantly higher than other syndromes.2 changes of macular hemorrhage.Simple type of macular hemorrhage in 5 eyes bleeding absorbed.Neovascularization in 43 eyes of macular hemorrhage type in the 3 months,25 bleeding absorbed,14 bleeding part of the absorption, an increased bleeding, bleeding in 4 eyes remained unchanged.Before and after treatment by paired t test, P<0.01, statistically highly significant meaning. Compared with macular hemorrhage of simple type of macular neovascular bleeding more easily absorbed, statistically significant.2 types of macular hemorrhage absorption, chi-square test, p= 0.017, significant with TCM syndromes, type found in the case of new blood vessels, the larger the proportion of blood deficiency syndrome, compared to other syndromes, there are overprolonged treatment, macular hemorrhage improved absorption characteristics of the situation.Lack of permits in the treatment of liver and kidney after 1 month, bleeding changes more slowly.Conclusion:The clinical trial results show that:the United Woli Ting Siwu Decoction treatment of high myopia with macular hemorrhage in the good effect, can effectively promote the end of high myopia with macular hemorrhage absorption, is a safe and effective treatment of high myopia macularbleed. |
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