解毒活血利水法治疗中心性渗出性脉络膜视网膜病变的临床视察.pdfVIP

提 要 目的：从中心性渗出性脉络膜视网膜病变(CEC)的病因病机特点入手，通过临床 病例观察解毒活血利水法治疗该病的疗效，为解毒活血利水法治疗本病提供新的思路 和方法。 方法：观察符合纳入标准的CEC 患者，以解毒活血利水为基本治法，辨证加减， 观察治疗前后最佳矫正视力（BCVA ）、眼底黄斑区水肿、出血及渗出、眼底荧光血 FFA Amsler OCT 管造影（ ）、 方格表、中心视野、光学相关断层扫描（ ）等的变化情 况。 结果：解毒活血利水法治疗CEC 的总有效率为93.1%，治疗后视力有显著性改 P 0.05 P 0.05 善（ ），眼底黄斑区的出血和渗出治疗前后差异显著（ ），黄斑区中心反 光治疗后较治疗前无差异性（P0.05 ）。眼底新生血管渗漏率明显降低（P0.05 ）。Amsler 方格表改善率为85.19%。治疗后中心视野视敏度显著性提高（P0.05 ）。CNV 分级发 生巨大变化。 结论：解毒活血利水法治疗CEC 对提高视力、中心视野视敏度，改善眼底黄斑 区病理体征、Amsler 方格表，减少脉络膜新生血管渗漏，促使新生血管萎缩闭锁， 显示了较为满意的疗效，具有良好的临床应用价值。 关键词 中心性渗出性脉络膜视网膜病变；解毒活血利水法；病机 Clinical Study on Treatment of central exudative chorioretinopathy With the Method of Detoxicating and Activating Blood and water Speciality: Ophthalmology of Traditional Chinese Medicine Student: Wang Zhen Tutor: Prof. Lvlu Abstract Objective: From the character of central exudative chorioretinopathy, observe the clinical efficacy of the method of Detoxicating and Activating Blood and water therapy to treat the central exudative chorioretinopathy(CEC) .Through the clinical cases, we hope we can provide the basis for the method of Detoxicating and Activating Bloodand waterdecoction used in clinical to curing CEC. Methods: The clinical data of 28 Patients (29eyes) with CEC who had followed up for 1.5 months after therapy of Chinese medicine for CNV were analyzed. Observe and analyze the changes of the best corrected visual acuity(BCVA) vision, Amsler list, Fundus ， Fluorescein Angiography(FFA) and Optic coherent tomography(OCT)of pre-treatment and post-treatment. Result: With the therapy method of Detoxicating and Activating Blood and water, the total