滋阴明目方结合中医灸法促进玻璃体切割术患者康复效果观察  

Effect of Ziyin Mingmu Prescription(滋阴明目方)Combined with Traditional Chinese Moxibustion in Improving Rehabilitation of Vitrectomy Patients

作　　者：史永震 陈庆[1] 杨卫燕 SHI Yongzhen;CHEN Qing;YANG Weiyan(Jiangsu Provincial Hospital of Traditional Chinese Medicine,Nanjing 210029,Jiangsu,China)

机构地区：[1]江苏省中医院,江苏南京210029

出　　处：《辽宁中医杂志》2023年第8期158-161,共4页Liaoning Journal of Traditional Chinese Medicine

摘　　要：目的观察滋阴明目方结合中医灸法促进玻璃体切割术患者康复效果。方法共纳入增生型糖尿病性视网膜病变患者97例(2020年2月—2021年12月收治),将患者以随机数字表法分成两组(对照组与观察组),对照组48例患者均行玻璃体切割术干预及常规术后干预,观察组49例患者在对照组干预基础上采取滋阴明目方结合中医灸法干预,数据观察:临床干预有效率、术后并发症发生率、干预前后中医证候积分变化及眼动脉血流动力学指标变化、术后患者生活质量评分(SF-36量表)及干预满意度评分、安全性情况。结果观察组患者有效率为95.92%(47/49),对照组患者有效率为81.25%(39/48),观察组有效率更高,差异有统计学意义(P<0.05);与对照组比较,观察组患者术后总并发症率更低,差异有统计学意义(P<0.05);干预前,两组患者中医证候积分、眼动脉舒张末期血流速度(Edv)与收缩期峰值血流速度(Psv)、平均血流速度(Vm)、搏动指数(PI)及阻力指数(RI)等眼动脉血流指标比较,差异无统计学意义(P>0.05),干预后各组患者中医证候积分、Edv、Psv、Vm、PI、RI等眼动脉血流指标均改善,观察组患者干预后中医证候积分、Edv、Psv、Vm、PI、RI等眼动脉血流指标均优于对照组患者,差异有统计学意义(P<0.05);与对照组比较,观察组患者术后生活质量评分及干预满意度评分均更佳,差异有统计学意义(P<0.05);两组患者血尿常规、血压及血糖、肝肾功能等检查均正常,无不良反应。结论滋阴明目方结合中医灸法可较好促进玻璃体切割术患者康复,患者干预效果提升,症状好转,生活质量改善,患者十分认可,且安全可靠,值得应用。Objective To observe the rehabilitation effect of Ziyin Mingmu Prescription(滋阴明目方)combined with traditional Chinese moxibustion in vitrectomy patients.Methods A total of 97 patients with proliferative diabetic retinopathy(admitted from February 2020 to December 2021)were included in this study.The patients were divided into control group and observation group by random number table method.All 48 patients in the control group received vitrectomy intervention and routine postoperative intervention and 49 patients in the observation group took Ziyin Mingmu Prescription combined with traditional Chinese medicine moxibustion on the basis of the control group.The clinical effective rates,the incidence of postoperative complications and TCM syndrome integral before and after the intervention and eye arterial hemodynamics indexes,postoperative quality of life scores(SF-36 scale)and intervention satisfaction ratings and the security situation were compared between two groups.Results The effective rate of the observation group was 95.92%(47/49),and that of the control group was 81.25%(39/48).The effective rate of the observation group was higher(P<0.05).Compared with that of the control group,the total postoperative complication rate of the observation group was lower(P<0.05).Before intervention,traditional Chinese medicine syndrome score,end-diastolic blood flow velocity(Edv),peak systolic blood flow velocity(Psv),mean blood flow velocity(Vm),pulsatile index(PI)and resistance index(RI)were not significant between two groups(P>0.05).After intervention,TCM syndrome integral,the values of Edv,Psv,Vm,PI,RI and other indicators of eye artery hemodynamics were improved in each group,while TCM syndrome integral,the values of Edv,Psv,Vm,PI,RI and other indicators of eye artery hemodynamics in the observation group were better than those in the control group(P<0.05).Compared with those of the control group,the scores of postoperative quality of life and intervention satisfaction were better in the observation group(P<0.0

关 键 词：玻璃体切割术 增生型糖尿病性视网膜病变 滋阴明目方 中医灸法 有效率 并发症 眼动脉血流动力学指标 

分 类 号：R774[医药卫生—眼科]