【作者】 牛世煜；

【导师】 孙河；

【作者基本信息】 黑龙江中医药大学 ， 中医五官科， 2010， 硕士

【摘要】 目的:评价达明饮治疗增殖期糖尿病视网膜病变的有效性,探讨达明饮益气养阴,化瘀止血的作用机制。方法:临床采集糖尿病视网膜病变增殖期眼底改变患者32例,按随机原则均等分为治疗组与对照组,治疗组口服达明饮,对照组口服二羟基苯磺酸钙(导升明)。用药前和用药1个月后分别对患者进行眼底照相、眼底荧光造影以及视力、视野、彩色多普勒超声血流成像的检查,客观评价治疗效果。结果:(1)治疗后治疗组总有效率为65.63%,对照组总有效率为46.88%,P<0.05治疗组优于对照组。(2)视力:治疗组与对照组比较,进行t检验,P<0.05,两组用药前后视力均有统计学意义。(3)眼底检查、荧光造影比较,治疗组优于对照组,治疗组总有效率为71.88%,对照组总有效率为56.67%,P<0.05两组比较有统计学意义。(4)视野:治疗组治疗后,P<0.05,有统计学意义;对照组治疗后,P<0.05,有统计学意义;但两组比较,P>0.05,无统计学意义。(5)两组用药后视网膜血流均有改善,治疗组治疗前后比较PSV、RI、EDV, P<0.05,均有统计学意义。对照组治疗前后比较RI ,P<0.05有统计学意义;PSV、EDV,P>0.05,差异无统计学意义。治疗组和对照组治疗后比较PSV、EDV,P<0.05,有统计学意义。RI, P>0.05,差异无统计学意义。结论:中药达明饮治疗增殖期糖尿病视网膜病变治疗效果显著,且优于导升明。更多还原

【Abstract】 Purposes: To evaluate the efficacy of the DA MING YIN for treatment of proliferative diabetic retinopathy(PDR),and to explore the mechanism of the DA MING YIN with functions of replenishing qi and producing yin, activating blood circulation to dissipate blood stasis.Methods: 32 NIDDM patients with PDR and eyeground change were randomly assigned (16:16) to the treatment group (DA MING YIN) and the controlled group (DOXIUM). Examination of vision, eyeshot and Color Doppler flow imaging (CDFI); photography of eyeground, fundus fluorescein angiography before treatment and after one month were used to evaluate the effects of DA MING YIN impersonally.Results: (1) The percentage of the total effective cases of the treatment group was 65.63%, and the controlled group was 46.88%,P<0.05,so DA MING YIN is superior to DOXIUM.(2)Vision: Comparison in the treatment group and the controlled group has statistical significance (P<0.05) by T.The vision of two groups both have some statistical significance before treatment and after clinical therapy.(3) The treatment group, whose percentage of the total effective cases is 71.88%, is superior to the controlled group, whose is 56.67%, in eyeground examination and fundus fluorescein angiography. Comparisons between the groups have statistical significance (P<0.05).(4)Eyeshot: The treatment group has statistical significance (P<0.05); the controlled group has statistical significance (P>0.05); contrasts between two groups after treatment have no statistical significance (P>0.05).(5)Retina flow of two groups both have some improvement through clinical therapy; comparisons in the treatment group have statistical significance in PSV、RI and EDV (P<0.05) before treatment and after clinical therapy. Contrasts in the controlled group’ RI have statistical significance (P<0.05), but in PSV and EDV have no (P>0.05). Contrasts between two groups after treatment have statistical significance in PSV and EDV (P<0.05), but in RI have no (P>0.05).Conclusion: Curative effect of Chinese traditional medicine DA MING YIN in proliferative diabetic retinopathy (PDR) is significant, and superior to DOXIUM.更多还原