中医辨证治疗老年性黄斑变性的视觉生理变化意义  

Observation on Visual Change of Age-related Macular Degeneration Treated by TCM

作　　者：林颖[1] 陈文祥[1] 郑美英[1] 刘安[1] 

机构地区：[1]福建中医学院附属人民医院,福建福州350004

出　　处：《福建中医学院学报》2008年第5期1-4,共4页Journal of Fujian College of Traditional Chinese Medicine

基　　金：福建省教育厅科研项目(JB04135)

摘　　要：目的观察中医辨证治疗老年性黄斑变性(AMD)变化的生理意义。方法采用闪光视网膜电流图(F-ERG)和视觉诱发电位(P-VEP)。结果脾虚湿困型AMD的F-ERG改变较肝肾亏损型AMD显著,渗出型AMD的F-ERG改变较萎缩型AMD显著;脾虚湿困型及肝肾亏损型患者P-VEP均有不同程度的异常,但异常率与中医证型无关;经过中医辨证治疗,患者F-ERG的明适应振幅有所提高,P-VEP的振幅有所提高,潜伏时有所缩短。结论中医辨证治疗老年性黄斑变性,在阻止病情发展,防止病变反复,提高视力上有一定的效果。Objective To observe the visual change of age-related macular degeneration （AMD） treated by TCM differentiation. Methods Flicker electroretinograms （F-ERG） and pattern visual evoked potential （P-VEP） were used to evaluate the retinal and macular area function. Results The F-ERG changes of AMD with spleen asthenia and fluid retention type were more remarkable than that of liver kidney insufficiency type, the exudative cases were more remarkable than that of atrophic type. There were abnormal changes in P-VEP in two TCM syndrome types, but no correlation between the abnormal rate and TCM syndrome type. The amplitudes were all increased and latency was shortened after TCM treantment. Conclusion TCM treantment is effective for the prevention of AMD and increasing vision.

关 键 词：老年性黄斑变性 中医辨证 闪光视网膜电图 视觉诱发电位 

分 类 号：R276.774[医药卫生—中医五官科学]