| 引用本文: |
刘若溪,李阳,刘叶,孙河.健脾化湿、疏肝明目法治疗黄斑水肿的临床观察[J].湖南中医药大学学报,2020,40(3):373-376[点击复制] |
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| 健脾化湿、疏肝明目法治疗黄斑水肿的临床观察 |
| 刘若溪,李阳,刘叶,孙河 |
| (黑龙江中医药大学附属第二医院眼科, 黑龙江 哈尔滨 150040;黑龙江中医药大学, 黑龙江 哈尔滨 150040;黑龙江中医药大学附属第一医院眼科, 黑龙江 哈尔滨 150040) |
| 摘要: |
| 目的 观察具有健脾化湿、疏肝明目作用的经验方达明饮2号治疗黄斑水肿患者的临床疗效。方法 分析自2018年7月至2019年7月期间在黑龙江中医药大学附属第一医院就诊的黄斑水肿患者30例（36只眼），治疗期间，均给予达明饮2号口服，比较患者在治疗前及治疗后的最佳矫正视力、黄斑中心凹厚度，并就其中典型病例1例进行分析。结果 观察期间30例患者（36只眼）的最佳矫正视力，黄斑中心凹厚度及病人全身整体状况均有不同程度改善，差异有统计学意义（P<0.05）。其中典型病例患者视力从治疗前的0.3提高到0.5，并维持2个月无反弹，黄斑中心子区厚度由治疗前的262 μm消退到214 μm，OCT示黄斑中心凹恢复正常形态。结论 经验方达明饮2号可以有效提高患者视力，改善黄斑水肿。 |
| 关键词: 黄斑水肿 达明饮2号 矫正视力 健脾化湿 疏肝明目 |
| DOI：10.3969/j.issn.1674-070X.2020.03.025 |
| 投稿时间：2019-08-15 |
| 基金项目: |
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| Clinical Observation on the Treatment of Macular Edema with the Method of Strengthening Spleen to Dissipating Dampness and Dispersing Liver for Improving Eyesight |
| LIU Ruoxi,LI Yang,LIU Ye,SUN He |
| (Department of Ophthalmology, The Second Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang 150040, China;Department of Ophthalmology, The First Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang 150040, China) |
| Abstract: |
| Objective To observe the clinical efficacy of Daming Yin Ⅱ, an empirical formula with the functions of strengthening spleen to dissipating dampness and dispersing liver for improving eyesight, in the treatment of macular edema. Methods A total of 30 patients (36 eyes) with macular edema who had been treated in the First Affiliated Hospital of Heilongjiang University of Chinese Medicine from July, 2018 to July, 2019 were analyzed. During the treatment period, all patients were given Daming Yin Ⅱ. The best corrected visual acuity and macular fovea thickness of patients before and after treatment were compared, and one typical case was analyzed. Results The best corrected visual acuity, macular fovea thickness and the whole body of 30 patients (36 eyes) in this experiment were improved in varying degrees, and the difference was statistically significant (P<0.05). The visual acuity of the typical patient increased from 0.3 to 0.5 and there was no rebound for 2 months. The thickness of the macular fovea subsided from 262 μm to 214 μm. OTC indicated the fovea back to normal level. Conclusion The empirical formula of Daming Yin Ⅱ can effectively improve visual acuity and reduce macular edema. |
| Key words: macular edema Daming Yin Ⅱ corrected visual acuity strengthening spleen to dissipating dampness dispersing liver for improving eyesight |
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