| 引用本文: |
蒋鹏飞,李翔,彭俊,彭清华.益气养阴、活血利水法治疗474例气阴两虚证糖尿病视网膜病变患者的回顾性分析[J].湖南中医药大学学报,2022,42(4):685-688[点击复制] |
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| 益气养阴、活血利水法治疗474例气阴两虚证糖尿病视网膜病变患者的回顾性分析 |
| 蒋鹏飞,李翔,彭俊,彭清华 |
| (湖南中医药大学, 湖南 长沙 410208;湖南省中医药防治眼耳鼻咽喉疾病与视功能保护工程技术研究中心, 湖南 长沙 410208;湖南中医药大学第一附属医院, 湖南 长沙 410007) |
| 摘要: |
| 目的 观察益气养阴、活血利水法对糖尿病视网膜病变（diabetic retinopathy, DR）患者的疗效。方法 本研究为回顾性研究，根据DR患者的治疗方法将DR患者分为治疗组与对照组，对照组388例采用羟苯磺酸钙联合对症治疗，治疗组474例在对照组的基础上联合益气养阴、活血利水中药治疗，疗程7~21 d。统计治疗后两组患者空腹血糖控制情况、最佳矫正视力、黄斑中心凹厚度、中医证候积分、复发率等情况。结果 治疗后两组患者空腹血糖差异无统计学意义（P＞0.05），治疗后治疗组最佳矫正视力、黄斑中心凹厚度、中医证候积分、复发率优于对照组（P＜0.05）。结论 益气养阴、活血利水法联合羟苯磺酸钙能更好地减轻DR患者视网膜水肿、提高视力、改善中医证候。 |
| 关键词: 益气养阴 活血利水 糖尿病视网膜病变 气阴两虚 羟苯磺酸钙 |
| DOI：10.3969/j.issn.1674－070X.2022.04.028 |
| 投稿时间：2021-08-03 |
| 基金项目:中医药防治五官科疾病湖南省重点实验室建设项目（2017TP1018）；国家中医药管理局中医眼科学重点学科建设项目（ZK1801YK015）；湖南中医药大学中医学国内一流建设学科建设项目；中医药防治眼耳鼻咽喉疾病湖南省重点实验室；湖南省教育厅优秀青年项目（19B430）。 |
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| Retrospective analysis on the replenishing Qi, nourishing Yin and promoting blood circulation and diuresis treatment of 474 cases of diabetic retinopathy with Qi-Yin deficiency syndrome |
| JIANG Pengfei,LI Xiang,PENG Jun,PENG Qinghua |
| (Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;Hunan Engineering Technology Research Center for the Prevention and Treatment of Otorhinolaryngologic Diseases and Protection of Visual Function with Chinese Medicine, Changsha, Hunan 410208, China;The First Affiliated Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410007, China) |
| Abstract: |
| Objective To observe the curative effect of replenishing Qi, nourishing Yin and promoting blood circulation and diuresis on diabetic retinopathy (DR) patients. Methods This study is a retrospective study. According to the treatment methods of DR patients, DR patients were divided into treatment group and control group. In the control group, 388 cases were treated with calcium dobesilate combined with symptomatic treatment. On the basis of the control group, 474 cases in the treatment group were treated with herbs for replenishing Qi, nourishing Yin and promoting blood circulation and diuresis, and the course of treatment was 7-21 days. After treatment, fasting blood glucose (FBG) control, best corrected visual acuity (BCVA), central macular thickness (CMT), TCM syndrome score, and complication recurrence rate in the two groups were counted. Results After treatment, there was no significant difference in FBG between the two groups (P>0.05). After treatment, the BCVA, CMT, TCM syndrome score and recurrence rate of the treatment group were better than those of the control group (P<0.05). Conclusion The method of replenishing Qi, nourishing Yin and promoting blood circulation and diuresis combined with calcium dobesilate can better reduce retinal edema, improve vision, and improve TCM syndromes in patients with DR. |
| Key words: replenishing Qi and nourishing Yin promoting blood circulation and diuresis diabetic retinopathy deficiency of both Qi and Yin calcium dobesilate |
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