糖尿病性黄斑水肿的分型及中药治疗  

A research of diabetic macular edema on classification and therapeutics with traditional Chinese medicine

作　　者：贾万程[1] 侯俭[1] 崔凡明[1] 帅开地[1] 邵白[1] 

机构地区：[1]济宁市第一人民医院,山东272111

出　　处：《中国中医眼科杂志》1999年第4期212-214,共3页China Journal of Chinese Ophthalmology

摘　　要：目的： 探讨糖尿病黄斑水肿的诊断标准并观察中西医治疗的效果。方法： 根据裂隙灯视网膜检查和荧光素眼底血管造影确定糖尿病性黄斑水肿， 进行诊断和分型标准。１２２ 例（２１６只眼） 糖尿病性黄斑水肿患者随机分为中药治疗组和对照组， 观察其视力、视网膜病变、荧光素眼底血管造影特点及血糖的改变。结果： 中药组６２ 例（１１０ 只眼） 有效率为８８－１８％ ， 对照组６０ 例（１０６ 只眼） 有效率为１２－２６％ ，两者比较差异有显著性（Ｐ＜ ０－０１）。中药治疗组患者的视力、视网膜水肿程度、荧光素眼底血管造影特点及血糖的控制均好于对照组。结论：中药对糖尿病性黄斑水肿有一定的治疗作用。裂隙灯视网膜检查和荧光素眼底血管造影检查有助于黄斑水肿的诊断和分型。OBJECTIVE: To investigate the diagnostic criterion of diabetic macular edema and effect of traditional Chinese medicine. METHODS: Diagnostic and typing criterion of diabetic macular edema were established according to findings of retina determined with slit lamp mircoscope and of fundus fluorescein angiography(FFA). One hundred and twenty two patients (216 eyes) with diabetic macular edema were randomly divided into treated group with traditional Chinese medicine and control group. The changes of visual acuity, retinopathy, and feature of FFA were observed in the patients. RESULTS: There was effective rate of 88.18% in the traditional Chinese medicine group, and was 12 26% in the control group. This difference was significant statistically ( P <0 01 ). The changes of visual acuity, retinopathy, feature of FFA, and level of blood glucose was better in the traditional Chinese medicine group than the control group. CONCLUSIONS: Traditional Chinese medicine could be applied in the treatment of diabetic macular edema. Slit lamp microscope and fundus fluorescein angiography redounded to diagnosis and classification of diabetic macular edema.

关 键 词：糖尿病 黄斑水肿 荧光素 眼底血管造影 治疗 

分 类 号：R276.713[医药卫生—中医五官科学]