化浊导滞、活血化瘀法治疗肥胖型糖尿病眼底出血的临床的分析.pdfVIP

摘 要 摘 要 目的：观察化浊导滞、活血化瘀法治疗肥胖型糖尿病眼底出血的临床疗效。 方法：将120例患者随机分为两组，均给予基础治疗，治疗组配合中医化浊导滞、 活血化瘀法所组成的中药治疗。观察两组治疗前后各种指标的变化，并评价疗效。 结果：在临床疗效方面，治疗组的显效率和总有效率分别达到36.66%和93.33%，明 显优于照组的20.0%和70.0%，经统计学处理差异具有显著性（P0.05）。眼底恢复情况 治疗组显效率为36.0%例，总有效率为85.0%，而对照组仅为 26.7%和62.0%，两组比较 差异具有显著性（P0.05）。同时在减轻体重指数、促进视力恢复上治疗组也明显优于 对照组（P0.05）。在生化指标方面，治疗后两组的BMI、FBG均有下降，但治疗组BMI下 降幅度更明显，与治疗组比较差异具有显著性(P0. 05)。另外，治疗组的FINS、TC、 TG和糖化血红蛋白，在治疗后均有显著下降，与治疗前比较差异均有显著性(P0. 05)， 而对照组上述指标治疗前后变化不明显(P0. 05)。 结论：化浊导滞、活血化瘀法治疗肥胖型糖尿病眼底出血，能明显改善眼底病变， 保护视力，促进出血及渗出物的吸收，并能减轻体重，降低体重指数，改善糖、脂代谢 紊乱，还能显著增加胰岛素敏感性，是一个值得深入研究，并推广应用的治疗方法。 关键词 肥胖 2型糖尿病 眼底出血 中医治疗 化浊导滞、活血化瘀法 I Abstract Abstract Objective: To observe the clinical curative effect on treating obese diabetes eyeground hemorrhage by the method of regulating blood circulation to relieve blood stagnation. Method: To divide 120 example patients into 2 groups randomly ， give two groups the fundamental treatment ， treat the treated group with the method of regulating blood circulation to relieve blood stagnation， and observe the before-treatment and after-treatment index change of the two groups . Result: The before-treatent and after-treatment restoring condition of the vision of the two groups is processed by statistics ， the evidently efficient rate of the treated group 36.66%，the effectiveness 93.33%; the data of the matched group is respectively 20.00% and 70.00%. Compared with the two groups through chi-square test， there were statistically significant P0.05. The before-treatent and after-treatment restoring condition of the eyeground of the two groups is pr