2013•Zhongguo shiyan fangjixue zazhiRequires access
Clinical Efficacy of Combined Therapy of Traditional Chinese Medicine and Western Medicine on Complications of Phacoemulsification
Dai Li
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Abstract
Objective:To explore the clinical efficacy of combined therapy of traditional Chinese medicine and western medicine on complications of phacoemulsification.Method:Ninety-six patients performed routine phacoemulsification surgery were randomly divided into observation group(n=48)and control group(n=48).There were 60 eyes in the control group,which were treated with bramycin dexamethasone oculentum(interval between application:4-6 h),pranoprofen eye drops(interval between application:2-4 h)and levofloxacin hydrochloride eye drops(interval between application:2-4 h)for 4 weeks.There were 62 eyes in the observation group,on the basis of the western medicines in control group,patients in the observation group were orally taken Qinggan Mingmu Fang,1 dose daily for 8 weeks.The eyesight,anterior chamber reaction,corneal endothelial count,posterior capsule opacification incidence and the residual cortical absorption were observed at 1 d,1,8,12,24 weeks after surgery.Result:The recovery of eyesight in the observation group was better than the control group at 1,8,12,24 weeks after surgery(P0.01).The anterior chamber reaction in the observation group was lower than that in the control group at 1,8 weeks after surgery(P0.01).The corneal endothelial counts in the observation group were higher than the control group at 1,8,12,24 weeks after surgery(P0.01).The rate of occurrence of after-cataract in the observation group was lower than that in the control group at 8,12,24 weeks after surgery(P0.05).The cortical absorption in the observation group was superior to the control group at 1,8,12,24 weeks after surgery(P0.05,P0.01).Conclusion:Combination of Chinese and western medicine could suppress anterior chamber reaction after phacoemulsification,facilitate corneal endothelial cells regeneration,improve residual cortical absorption,decrease rate of occurrence of after-cataract and promote eyesight recovery.