目的:分析研究中西医结合治疗新生血管性青光眼的临床效果。方法:收集整理2004-01/2010-01期间眼科中心青光眼组病房收治的新生血管性青光眼251例284眼,其中同时联合中医治疗的150例162眼,单纯西医治疗的101例122眼。中医采用辩证施治,服用中药,以“补阳还五汤”加减为主。西医主要以手术治疗,对于新生血管性青光眼1期行全视网膜激光光凝术+玻璃体腔注射曲安奈德,2期行复合式小梁切除联合羊膜移植术；3A期行Ahmed引流阀植入联合玻璃体前部切割+玻璃体腔注射曲安奈德术；3B期、3C期者施行Ahmed引流阀植入+玻璃体切割+玻璃体腔注射曲安奈德术。治疗后6mo时,观察眼压、视力、虹膜新生血管等指标。结果:与单纯西医治疗相比,联合中医治疗可以提高1期和2期新生血管性青光眼的视力（Z_C=2.872,P<0.05；Z_C=8.017,P<0.05）,有效控制2期和3期新生血管性青光眼的眼压（Z_C=4.557,P<0.05；Z_C=2.171,P<0.05）,促进2期新生血管性青光眼的虹膜新生血管消退（Z_C=5.330,P<0.05）。结论:采用中西医结合的综合疗法,较单纯西医治疗对新生血管性青光眼的治疗效果更好。

AIM:To analyze the clinical effect ofintegrated traditional Chinese and western medicine for the treatment of neovascular glaucoma(NVG).METHODS:Totally 251 cases(284 eyes)with NVG in glaucoma wards in eye center during January 2004 to January 2010 were collected, among which 150 cases(162 eyes) were treated with traditional Chinese medicine, 101 cases(122 eyes) were treated by single western medicine. Traditional Chinese medicine based on the principle of syndrome differentiation and treatment, taking traditional Chinese herbs according to the plus and minus of “Buyang Huanwu Decoction ”. Western medicine mainly treated with surgery. Panretinal photocoagulation(PRP) combined with vitreous injection of triamcinolone acetonide were performed in NVG stage 1. Compound trebeculectomy combined with amniotic membrane transplantation were performed in NVG stage 2. Ahmed valve implantation combined with anterior vitrectomy and vitreous injection of triamcinolone acetonide were performed in NVG stage 3A. While Ahmed valve implantation combined with vitrectomy and vitreous injection of triamcinolone acetonide were performed in NVG stage 3B and 3C. The intraocular pressure, visual acuity and iris neovascularization were observed 6 months after surgery.RESULTS:Compared with single western medicine, combined traditional Chinese medicine could improve the visual acuity of NVG in stage 1 and 2（Z_C=2.872,P<0.05；Z_C=8.017,P<0.05）, effectively control the intraocular pressure in stage 2 and 3（Z_C=4.557,P<0.05；Z_C=2.171,P<0.05）, promote iris neovascular regression in stage 2（Z_C=5.330,P<0.05）.CONCLUSION:The outcome of integrated traditional Chinese and western medicine is better than single western medicine for NVG.