目的：探讨西药联合桃红四物汤合五苓散对膝关节半月板损伤术后功能康复的影响。方法将110例膝关节半月板损伤术后患者随机分为2组各55例，对照组采用常规西医康复措施，研究组在对照组治疗基础上加用桃红四物汤合五苓散，比较2组膝关节功能康复效果。结果研究组术后2周、术后4周 VAS 评分均显著低于对照组（P 均﹤0.05），Lysholm 评分显著高于对照组（P 均﹤0.05）。研究组术后2周股四头肌萎缩程度评分显著低于对照组（P ﹤0.05），膝关节活动度明显大于对照组（P ﹤0.05）。结论西医常规康复治疗联合桃红四物汤合五苓散口服，能有效减轻膝关节半月板损伤术后疼痛程度，改善膝关节功能，同时在一定程度上还能改善关节活动度和肌肉萎缩程度。

AIM:To study the effect of Qijudihuang pills assisting sodium hyaluronate on visual function and tear film stability in patients with dry eye. METHODS:Seventy-eight patients(156 eyes)with dry eye from October 2013 to July 2015 were chosen for this study and randomly divided into observation group and control group, 39 patients(78 eyes)in each group. The patients in observation group received Qijudihuang pills combined with sodium hyaluronate. The patients in control group received sodium hyaluronate only. The visual function, tear film stability, Chinese and Western medicine clinical integration and clinical curative effect were compared between the two groups. RESULTS:Clinical curative effect:effective rate of observation group was 92% and was significantly higher than that of the control group as 74%(χ2=4.532, P<0.05). Visual function:the contrast sensitivity of observation group at 12, 18, 24 c/d was significantly higher than those of the control group(P<0.05). Tear film stability:the SIt and BUT of observation group were significantly higher than those of the control group(P<0.05). Symptoms integral:Chinese medicine clinical integral and western medicine clinical integral of observation group were significantly lower than those of the control group(P<0.05). CONCLUSION:Qijudihuang pills combined with sodium hyaluronate can improve visual function, tear film stability and Chinese and Western medical clinic symptoms, then improve the efficacy.

Objective To explore the visual quality parameters changes of different degrees of xerophthal-mia and the influence on the visual quality.Methods A total of 100 xerophthalmia patients treated in Huabei Oil Field Hospital from Apr.2013 to Apr.2015 were divided into a mild group of 43 cases,a moderate group of 37 cases and a severe group of 20 cases according to the disease condition,and another 40 cases of healthy peo-ple for heath examination were included as a control group.All subjects received visual quality analysis system by dual channel technology to detect the Strehl ratio ( SR) ,the cut-off frequency of modulation transfer function ( MTF cut off) ,the objective scatter index ( OSI ) under natural state, and the OSI dynamic changes without blinking,and the mean value of the dynamic changes of OSI( OSI means) were recorded.Results The spheri-cal degree,cylinder degree of the four groups had no significant differences (P>0.05),the BUT,Schirmer I test examination results of the mild group,moderate groupand severe group were significantly lower than the control group[(5.10 ±0.09) s,(5.07 ±0.09) s,(5.00 ±0.07) s vs (12.21 ±1.03) s,(10.04 ±0.10) mm/5 min, (9.95 ±0.07) mm/5 min,(9.93 ±0.10) mm/5 min vs (17.83 ±1.01) mm/5 min] (P<0.05),and there were no statistically significant differences between the mild group , moderate group and severe group ( P >0.05) .SR and MTF cut off of the moderate and severe group were significantly lower than the mild group and control group[(0.17 ±0.02),(0.13 ±0.01) vs (0.24 ±0.03),(0.25 ±0.05);(30.73 ±3.41) c/deg, (27.69 ±2.09) c/deg vs (39.86 ±3.75) c/deg,(40.53 ±4.71) c/deg],OSI of the mild group,moderate group and severe group was significantly higher than the control group [ ( 0.62 ±0.07 ) , ( 0.83 ±0.10 ) , (0.91 ±0.11) vs (0.43 ±0.05)](P <0.05),there was no significant difference in MTF and cut off SR between the mild group and control group( P>0.05);OSI of the moderate group and severe group was signifi-cantly higher than the mild group(P<0.05),SR MTF cut off of the severe group was significantly lower than the moderate group,OSI was significantly higher than the moderate group ( P <0.05 ) .The mean OSI in the mild group,moderate group, severe group were significantly higher than the control group [ ( 0.87 ±0.07 ) , (1.84 ±0.14),(2.13 ±0.27) vs (0.61 ±0.04)],the mean OSI in the moderate and severe groups were sig-nificantly higher than the mild group,and the severe group was significantly higher than the moderate group,and the differences waere statistically significant (P<0.05).Under the natural state in the patient of xerophthalmia OSI and SR,MTF cut off showed a negative correlation (r=-0.879,-0.709,P<0.05),and no significant correlation with age (r=-0.236,P>0.05),patients with xerophthalmia mean OSI under film dynamic state had no significant correlation with age,BUT and Schirmer I test(r =-0.227,0.031,0.053,P >0.05). Conclusion With visual quality parameters changes of the xerophthalmia patients, the visual quality also change,and with the aggravation of the disease,the visual quality is affected more;in treatment of symptoms of xerophthalmia,improving the visual quality of patients should also be considered.

目的:探讨硬性透气性角膜接触镜(RGPCL)对高度近视患儿的矫正效果.方法:选取3～6岁高度近视儿童36例(64眼),采用自身对照的方法,指导他们配戴RGPCL.观察患儿配戴RGPCL的适应程度,随访2年;观察患儿的视力提高情况、屈光度发展情况,并与患儿自身使用框架眼镜,在自然瞳孔下验光的最佳矫正视力进行对比.结果:患儿配戴框架眼镜的矫正视力为0.38±0.29,配戴RGPCL的矫正视力为0.49±0.29,两者比较差异有统计学意义(扛17.62,P＜0.05).配戴RGPCL2年后,患儿的矫正视力为0.60±0.30,与2年前比较,差异明显(t=11.23,P＜0.05).配戴RGPCL 2年后,陡峭中央角膜曲率、角膜中央曲率、眼轴长度均未见明显变化(P>0.05).患儿的屈光度,在配戴RGPCL前及配戴RGPCL 2年后,分别为-6.42±2.47D、-6.78±2.21D;配戴RGPCL 2年后,患儿的屈光度明显增加(P＜0.05).结论:配戴硬性透气性角膜接触镜,对高度近视患儿的矫正效果良好.