目的：为进一步研究中医治疗高度近视黄斑出血的临床治疗效果及作用，进行中医病因病机、辨证治疗，为临床治疗提供依据。

方法：选择本院2012-01/2014-09收治的高度近视黄斑出血患者80例135眼，为治疗组，应用中医辨证治疗； 选择同期患者45例64眼，为对照组，进行常规西医治疗。治疗1mo后，观察两组治疗效果及视力改善状况，并跟踪随访6mo，观察复发情况。

结果：治疗组总有效率为85.19%(115/135)，高于对照组78.13%(50/64)，差异有统计学意义(P<0.05)。治疗组平均矫正视力为0.48±0.11，高于对照组0.36±0.09，差异具有统计学意义(P<0.05)； 治疗组平均屈光度和黄斑出血范围为-9.81±0.85D和0.51±0.27PD，均低于对照组-10.76±0.91D和0.78±0.23PD，差异均具有统计学意义(P<0.05)； 治疗组眼底出血吸收时间为25.34±2.28d，短于对照组(29.72±2.13d)，差异具有统计学意义(P<0.05)； 对照组再次出血7.81%(5/64)，高于治疗组5.19%(7/135)，差异具有统计学意义(P<0.05)。

结论：中医辨证施治对高度近视黄斑出血具有良好的临床疗效，能够缩短治疗时间，并有利于患者术后视力的恢复，值得临床推广应用。

AIM: To study the treatment effect of traditional Chinese medicine in the treatment of high myopia macular hemorrhage, using Chinese medicine etiology and pathogenesis, syndrome differentiation treatment, and provide the basis for the clinical treatment.

METHODS: Eighty patients(135 eyes)with high myopia macular hemorrhage were selected in the hospital from January 2012 to september 2014 as treatment group, and applied traditional Chinese medicine treatment. Forty-five patients(64 eyes)with the same period, as the control group, received routine western medicine treatment. After 1mo treatement, the treatment effect and vision improvement situation of two groups were observed, and after 6mo follow-up, the relapse was observed.

RESULTS: The total effective rate of treatment group was 85.19%(115/135), higher than the control group 78.13%(50/64)(P<0.05). The average corrected visual acuity of treatment group was 0.48±0.11, higher than the control group 0.36±0.09, the difference was statistically significant(P<0.05). The average diopter and macular bleeding scope of the treatment group were -9.81±0.85D and 0.51±0.27PD, lower than the control group -10.76±0.91D and 0.78±0.23PD, the differences were statistically significant(P<0.05). The eye ground hemorrhage absorption time of treatment group was 25.34±2.28d, less than the control group 29.72±2.13d, the difference was statistically significant(P<0.05). The bleeding again of the control group 7.81%(5/64), higher than the treatment group was 5.19%(7/135), the difference was statistically significant(P<0.05).

CONCLUSION: Evidence-based treatment of traditional Chinese medicine for high myopia macular hemorrhage has good clinical effect, can shorten the treatment time, and is beneficial to the recovery of postoperative vision, worthy of clinical popularization and application.