陈向东，覃艮艳，张又玮，孙淑铭，聂辅娇，彭清华*

    (1.湖南中医药大学第一附属医院眼科，湖南长沙410007；2.湖南中医药大学，湖南长沙410208)

    ·临床研究·

    益肝明目汤治疗糖尿病黄斑水肿的疗效分析

    陈向东1，覃艮艳2，张又玮2，孙淑铭2，聂辅娇2，彭清华2*

    (1.湖南中医药大学第一附属医院眼科，湖南长沙410007；2.湖南中医药大学，湖南长沙410208)

    目的观察益肝明目汤治疗糖尿病黄斑水肿的临床疗效。方法将49例(91眼)糖尿病黄斑水肿患者随机分为两组，观察组25例49眼，口服益肝明目汤治疗；对照组24例42眼，采用醋酸曲安奈德球后注射治疗，疗程6个月。观察两组患者治疗后视力及黄斑水肿的变化情况，比较两组的综合疗效。结果治疗6个月后，观察组总有效率93.9%；对照组总有效率76.2%，观察组综合疗效优于对照组，差异有统计学意义(P<0.05)。结论益肝明目汤治疗糖尿病黄斑水肿远期疗效优于曲安奈德，值得临床推广应用。

    糖尿病黄斑水肿；益肝明目汤；曲安奈德；光学相干断层扫描

    〔Abstract〕Objective To observe the effect of Yigan Mingmu decoction on treatment of diabetic macular edema. M ethods 49 cases(91 eyes)of diabetic macular edema patients were randomly divided into two groups.The observation group with 25 cases(49 eyes)was treated with Yigan Mingmu decoction，the control group with 24 cases(42 eyes)was given triamcinolone acetonide retrobulbar injection，the course was for 6 months.The changes of visual acuity and macular edema in the two groups after treatment were observed.Results After treatment of 6 months，the total efficiency of the observation group was 93.88%；the total efficiency of the control group was 76.2% ......