“毒损目络”理论在PDR玻璃体切割术围手术期的应用  

Correlation of Toxins Damaging Optic Collaterals in the Peri-operative Period of PDR Vitrectomy

作　　者：刘思言 严京[1] 芦伟[2] 接传红[1] 高明雪 那爽 吴正正[1] 吴琦 LIU Siyan;YAN Jing;LU Wei;JIE Chuanhong;GAO Mingxue;NA Shuang;WU Zhengzheng;WU Qi(Eye Hospital,China Academy of Chinese Medical Sciences,Beijing 100040,China)

机构地区：[1]中国中医科学院眼科医院,北京100040 [2]鞍山市中医院,鞍山114000

出　　处：《中国中医眼科杂志》2023年第12期1146-1149,共4页China Journal of Chinese Ophthalmology

基　　金：北京市科技计划项目(Z211100002921024);中国中医科学院育苗基金培育专项(ZZ11-087)。

摘　　要：毒邪分为外感之毒与内生之毒,消渴病可理解为糖类等生理物质代谢障碍滞于体内,蕴生内毒,阻滞气、血、津液运行,对人体造成损害。络脉连接脏腑,沟通表里,灌注气血,荣濡周身,目络通畅则神光发越、视物清明。本文基于毒邪学说与络脉学说,从毒损目络角度阐述增殖期糖尿病视网膜病变(PDR)围手术期的病因病机,并结合临床经验进一步探讨解毒通络法在PDR术后的应用,从新的视角探讨PDR围手术期的病因病机及术后的中药治疗方式,为PDR围手术期的病机认识及治疗提供新的理论思路。Toxins can be divided into exogenous toxins and endogenous toxins.Diabetes can be understood as metabolic disorders of physiological substances such as sugars in the body,accumulating endogenous toxins,blocking the movement of Qi,blood,body fluid,and causing damage to the human body.The collaterals connect Zang-fu,communicate with the outside,infuse Qi and blood,and nourize the whole body.Depending on unclogged eye collaterals,eye can be clear and bright.Based on the theory of toxin and collaterals,this paper expounds the etiology and pathogenesis of proliferative diabetic retinopathy(PDR)in perioperative period from the point of view of toxin impaired eye collaterals,and further discusses the application of detoxifying and collateralizing method in PDR after operation combined with clinical experience.Discussing the etiology and pathogenesis of PDR in the perioperative period from a new point of view and the postoperative treatment of Traditional Chinese Medicine,it may provide a new theoretical idea for the understanding and treatment of the pathogenesis of PDR in the perioperative period.

关 键 词：增殖期糖尿病视网膜病变 毒损目络 玻璃体切割术 围手术期 

分 类 号：R276.7[医药卫生—中医五官科学]