摘 要：目的 觀察小梁切除術(shù)聯(lián)合中藥對青光眼患者控制眼壓的療效。方法 將2008年8月—2010年6月阿克蘇地區(qū)第二人民醫(yī)院眼科收治的87例青光眼患者隨機(jī)分為2組，對照組采用小梁切除術(shù)，治療組采用小梁切除術(shù)、術(shù)后聯(lián)合中藥治療，其他術(shù)中、術(shù)后處理相同。結(jié)果 對照組術(shù)后1年眼壓升高的陽性率為18.2%，治療組術(shù)后1年的陽性率為9.09%，兩組差異顯著。結(jié)論 小梁切除術(shù)聯(lián)合中藥降眼壓的效果更好，其機(jī)制為中醫(yī)認(rèn)為青光眼為肝腎陰虛、目失滋養(yǎng)，中藥可以降低眼壓并能對抗手術(shù)后局部眼絡(luò)受損，補(bǔ)肝腎兼活血化瘀中藥配合手術(shù)療治療青光眼值得推廣。

Abstract: Objective To observe the different effects of trabeculectomy only and trabeculectomy combined with traditional Chinese medicine in the treatment of glaucoma．Methods A total of 87 patients were divided into 2 groups randomly．Patients in control group were treated with trabeculectomy，and patients in treatment group were treated with trabeculectomy and traditional Chinese medicine（TCM）．The other treatments during and after the surgery in the two groups were the same．Results The positive rate in control group was 18.2% 1 year after the treatment，and the positive rate in treatment group was 9.09%．Conclusion Trabeculectomy combined with traditional Chinese medicine had better effects on glaucoma．In TCM theory，glaucoma was caused by liver-kidney Yin deficiency and eyes malnutrition．In the treatment of glaucoma，Chinese medicine can decrease eye pressure and reduce the damage of eye vein caused by surgery through tonifying liver-kidney，activating blood and resolving stasis．