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目的:观察运用玄府理论联合西药防治眼球钝挫伤所致青光眼的疗效.方法:将符合纳入标准的患者随机分入对照组和治疗组,对照组使用西医的治疗方法,治疗组在使用西医治疗的基础上加用在玄府理论指导下的中药治疗,比较两组在青光眼发病率、治疗病程、眼压、眼部胀痛症状方面的差异.结果:治疗组发病率低于对照组(P＜0.05);治疗组病程短于对照组(P＜0.05);在治疗刚开始的第一治疗单元,两组在控制眼压方面没有差异(P＞0.05),但在改善眼部症状方面有差异(P＜0.05);在第二、第三、第四治疗单元,在控制眼压及改善眼部症状方面,治疗组均优于对照组(P＜0.05).结论:运用玄府理论中西医结合防治眼球钝挫伤所致青光眼在减少青光眼发生,控制眼压、缩短高眼压持续时间,改善眼部症状方面优势明显.“,”Objective:To evaluate the effect of Xuanfu theory combined with western medicine in preventing and treating glaucoma caused by ocular contusion.Methods:The patients who met the criteria were randomly divided into controlled group and treatment group,the controlled group was treated with western medicine,and the treatment group was treated with western medicine and the traditional Chinese medicine under the guidance of the Xuanfu theory.The differences between the two groups in the incidence of glaucoma,the duration of treatment,intraocular pressure (IOP) and ocular symptoms were compared.Results:The incidence of treatment group was lower than that of the controlled group (P ＜ 0.05).The course of treatment group was shorter than that of the controlled group (P ＜ 0.05).In the first treatment unit,there was no difference in controlling of IOP between the two groups (P ＞ 0.05),but there was difference in improving the ocular symptoms (P ＜ 0.05).In the second,third and fourth treatment unit,the treatment group was better than the controlled group in controlling IOP and improving the ocular symptoms (P ＜ 0.05).Conclusion:Combined with traditional Chinese and western medicine under the guidance of the Xuanfu theory to prevent and treat glaucoma caused by ocular contusion can reduce the occurrence of glaucoma,control IOP,shorten the duration of high IOP,and improve the ocular symptoms.