年龄相关性黄斑变性的证治  

Differentiation and treatment of age-related macular degeneration

作　　者：胡新[1] 张励[1] 袁敏立[1] 庄曾渊[1] 

机构地区：[1]中国中医科学院眼科医院,北京100040

出　　处：《中国中医眼科杂志》2007年第5期255-257,共3页China Journal of Chinese Ophthalmology

摘　　要：目的分析年龄相关性黄斑变性患者的证候因素,探讨证候演变规律,提出相应治法。方法全部患者散瞳查眼底,部分患者行眼底荧光血管造影(FFA)及光学相干断层(OCT)检查以确定诊断。结合中医临床症状制定《年龄相关性黄斑变性临床症状调查表》,以问卷调查方式,统计全身症状、舌象、脉象、眼症状和辨证分型各项数据。结果整体辨证中口干咽燥、失眠多梦、苔薄舌红少津及脉细数最多见。结论肝肾阴虚、精血耗伤是年龄相关性黄斑变性发病的主要病机,进而继发瘀血、痰湿、郁火,在眼部引发脉络损伤,出现体征。OBJECTIVE To analyze the symptoms and causative factors of age-related macular degeneration（AMD）,probe into the rule of development of symptoms and propose the corresponding methods of treatment.METHODS Mydriatic fundus investigation had been done for all the cases.Fundus fluoresceince angiography（FFA）and optical coherence tomography（OCT）tests had been applied for part of the cases to determine the diagnosis.Based on the clinical symptoms of Chinese medicine,Questionnaire of AMD Clinical Symptoms were drawn up and filled up on the first visit.The analysis were given based on the statistical data on general symptoms,tongue,pulse,optical symptoms and type division according to the differentiation of symptoms.RESULTS It is found out by the general differentiation that the majority of the cases presented dry mouth and throat,insomnia,dream-disturbed sleep,peeled coating,red tongue,lack of moisture and thready and rapid pulse.CONCLUSIONS It was concluded that yin deficiency of liver and kidney and consumption of essence and blood were the main pathogenesis of AMD,developing secondarily blood stasis,phlegm-damp and stagnation of fire.All of those resulted in the injury of meridians and collaterals in the eye and general physical symptoms.

关 键 词：黄斑变性 证候 辨证论治 

分 类 号：R774.5[医药卫生—眼科]