化瘀明目汤治疗非增殖期糖尿病视网膜病变的临床研究-中医五官科学专业论文.docxVIP

中文摘要糖尿病视刚臌病变(DR)足-JI起视功能严最损害|r|勺：11要视例 中文摘要 糖尿病视刚臌病变(DR)足-JI起视功能严最损害|r|勺：11要视例 膜血管疾病。近jl=米I翻内外对DIt fn解剖生删、纰钐l病理、临床 治疗及转归；-I-医》0,1机及证型的研究【二逐步深入。 J：DR的发 病机理尚未完全削l刃，治疗上米取得突破性进眨． II-L，DR的 治疗成为目前我旧乃至当今世界医学领域的重要课题之一。 中医认为DR f由发生与肝脾肾功能火调晰功十¨火。病机为气 阴两亏，因虚致瘀，IflL瘀又是诱发和_lJ|l快水瘸发展n，J病理基础。 论治多从益气，养悖¨，活粗等方两入于。 本课题以益气养刚、化瘀止JfIL、消肝I刃I=l为1：要治则，采用 化瘀明目汤对60例非增殖期糖球病视I舣J帷炳变(N PDR)患者 进行临床观察。{I!据随机原则将≥e分为2 l：l-【：rI一药观察组和西药 对照组。观察临床j，效及m液检验捐标，结果淡l 9j： 1、化瘀I：!JJ目汤能促进眼底出m、渗出吸收，提i镪视力，作 用优于西药组(P0．05)； 2、化瘀l刿H汤治疗：限增殖J9J栅尿病视|i)|I『|；：|》0,i变7，效最著t 总有效率达80％，优于西药组(P0．0 5)： 3、血液检验指标提示，观察纰治疗d玎后比较及两组治疗后 比较均有显著差异(P0．05)。 关键词：非增吼jlJJ糖尿病视M臌病变 化瘀19J l汤 llfii眯Ⅲ究 黑龙江中医药大学硕士学位论文ABSTRACT 黑龙江中医药大学硕士学位论文 ABSTRACT Diabetic retinopathy(DR)is the main retina vascular disease which destruction to visual function．Recently，the study physio- dissection，constitution—pathology，clinical therapy，prognosis，Chinese medicine pathological mechanism and disease form has been gradually further i}l the world and in domestic．Since the mechanism ofonset of illness still hasn’t been clarified completely，moreover，there isn’t breakthrough progress in therapy．Hence，the therapy DR has become of the most important topics in 0111nation and in global medical domain now． It is believed that the main lesion of DR lies in liver，spleen，kidney in traditional Chinese medicine．Its pathological mechanism is deficiency of both Qi and yin,which blood stasis．And blood stasis is the pathological background which evoke and step up progress of DR．So most diagnosis and treatment bases supplementing Qi，nourishing yin，promoting blood circulation，and The main therapeutic doctrine of this topic are supplementing Qi and nourishing yin，hemostasia by removing blood stasis，removing intensive heat from the liver and improving acuity of sight． We administer HuaYuMingMuDecoction to 60 patients who is in non—proliferative phase of DR to make clinical observation．According to random principle，we divided them into two groups，namely the observation