【作者】 苗青；

【导师】 孙河；

【作者基本信息】 黑龙江中医药大学 ， 中医五官科学， 2009， 硕士

【摘要】 目的:评价达明饮治疗非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Ⅱ型糖尿病并发糖尿病视网膜病变非增殖期眼底改变患者32例(64只眼),按随机原则采用分组治疗的方法,治疗组口服中药达明饮,对照组口服导升明。治疗前和治疗1个月后分别对患者进行视力、眼底照相及眼底荧光造影、视野及双眼彩色多普勒血流成像检查,客观评判治疗效果。结果:(1)两组治疗后治疗组总有效率为93.57%,对照组总有效率为71.43%,治疗组优于对照组(P＜0.05)。(2)眼底检查及荧光造影比较,治疗组优于对照组,治疗组总有效率为93.75%,导升明组总有效率为75%,组间比较有统计学意义(P＜0.05)。(3)视野:治疗组治疗前后差异有统计学意义(P＜0.05),对照组治疗后视野有好转,但无统计学意义(P＞0.05)。用药后两组组间比较,有统计学意义(P＜0.05)。(4)两组治疗后视网膜血流均有改善,治疗组组内比较PSV、EDV均有统计学意义(P＜0.05),对照组组内比较RI有统计学意义(P＜0.05),PSV、EDV差异无统计学意义(P＞0.05),组间比较PSV、EDV有统计学意义(P＜0.05),RI差异无统计学意义(P＞0.05)。(5)视力结果组内比较差异均有统计学意义(P＜0.05),组间比较无统计学意义(P＞0.05)。结论:中药达明饮治疗非增殖期糖尿病视网膜病变疗效显著,且优于导升明。更多还原

【Abstract】 Objective:To evaluate the efficiency of Da Ming Yin for treatment of non-proliferative diabetic retinopathy(NPDR) and investigate the mechanism of Da Ming Yin for Yiqi Yangyin and Huayu Zhixue(supplementing qi, nourishing yin,removing blood stasis).Methods:32 patients(64 eyes) with typeⅡdiabetes mellitus concurrent with nonproliferative diabetic retinopathy issue of fundus changes were clinically gathered and randomly divided into the treatment group(16 cases) treated with Da Ming Yin and control group(16 cases) treated with Doxium.Curative effects were observed objectively,and visual acuity,fundus photography and fundus fluorescein angiography,visual field and color Doppler flow imaging were detected before and after 1 month’s treatment.Results:(1) After treatment,the total curative effective rate in treatment group was 93.57%,better than that in the control group(71.43%,P＜0.05).(2) Comparison of fundus examination and fluorescein angiography,the treatment group was superior to the control group.The total curative effective rate in treatment group and control group was 93.75%,75%respectively.There was significant difference between the two groups(P＜0.05).(3) Significant difference was shown in the comparison of visual field before and after treatment in the treatment group(P＜0.05).After treatment the visual field was improved in the control group,however,there was no statistical significance (P＞0.05).After treatment there were significant difference between the two groups(P＜0.05).(4) Retinal blood flow was improved in both groups after treatment.There was significant difference in the comparison of PSV,EDV (P＜0.05) in the treatment group.There was significant difference in the comparison of RI(P＜0.05),and no statistical significance in the comparison of PSV,EDV(P＞0.05) in the control group.Significant difference was shown in the comparison of PSV,EDV(P＜0.05),and no statistical significance was shown in the comparison of RI(P＞0.05) between the two groups.(5) There was significant difference in the comparison of visual inspection results in their respective group(P＜0.05) and no statistical significance compared between the two groups(P＞0.05).Conclusions:The Chinese traditional medicine Da Ming Yin had a significant curative effect on the treatment of non-proliferative diabetic retinopathy.更多还原