韦氏三联九针疗法联合四物五子汤治疗(肝肾阴虚型)原发性视网膜色素变性临床观察  

Clinical Observation of Wei's Three-Combination Nine-Needle Therapy Combined with Siwu Wuzi Decoction in the Treatment of Primary Retinitis Pigmentosa(Liver and Kidney Yin Deficiency Type)

作　　者：韩克阳 于贝贝 王哲 赵月红 Han Keyang;Yu Beibei;Wang Zhe;Zhao Yuehong(Ophthalmology,Zaozhuang Hospital of Traditional Chinese Medicine,Zaozhuang 277000,China)

机构地区：[1]枣庄市中医医院眼科,山东枣庄277000

出　　处：《亚太传统医药》2024年第8期95-98,共4页Asia-Pacific Traditional Medicine

基　　金：山东省中医药科技项目(2020Q084,2021M107,M-2023288)。

摘　　要：目的:观察分析韦氏三联九针联合四物五子汤治疗(肝肾阴虚型)原发性视网膜色素变性(RP)患者视力、视野、闪光视觉诱发电位、视网膜电流图暗适应b波的变化,分析甘油三酯、总胆固醇、载体脂蛋白A1、载体脂蛋白B与RP间的关联性。方法:随机选取60例RP患者,分为对照组和治疗组各30例,对照组予葛根素和胞磷胆碱钠静滴、复方樟柳碱穴位注射、口服甲钴胺片;治疗组予韦氏三联九针和四物五子汤治疗,观察周期6周。结果:两组治疗后视力、视野、闪光视觉诱发电位、视网膜电流图暗适应b波均有不同程度改善,但韦氏三联九针联合四物五子汤对视力提升、改善视野缺损、提高视觉敏感度、促进神经传导等具有更好的效果,不良的饮食习惯,如高脂饮食、抽烟酗酒可能是诱导中老年人RP恶化的原因之一。结论:韦氏三联九针联合四物五子汤治疗(肝肾阴虚型)RP疗效显著,值得临床推广。Objective:To observe and analyze the changes of visual acuity,visual field,flash visual evoked potential and dark adaptive B-wave of retinogram in patients with primary retinitis pigmentosa treated by Wei's Three-Combination Nine-Needle Therapy combined with Siwu Wuzi Decoction(liver-kidney Yin deficiency),and to analyze the correlation between triglyceride,total cholesterol,carrier lipoprotein A1,carrier lipoprotein b and primary retinitis pigmentosa.Methods:60 patients with primary retinitis pigmentosa were randomLy selected and divided into control group and treatment group,30 patients in each group.The control group was given puerarin and citicoline sodium drops,compound anisodine point injection,and oral mecobalamine tablets.The treatment group was treated with Wei's Three-Combination Nine-Needle Therapy and Siwu Wuzi decoction,and the observation period was 6 weeks.Results:After treatment,the visual acuity,visual field,flash visual evoked potential and retinogram dark adaptive B-wave were improved to varying degrees in the two groups,but Wei's Three-Combination Nine-Needle Therapy combined with Siwuwuzi Decoction had better therapeutic effects on improving visual acuity,improving visual field defect,improving visual sensitivity and promoting nerve conduction.Such as high-fat diet,smoking and alcoholism may be one of the reasons for the deterioration of primary retinitis pigmentosa in middle-aged and elderly people.Conclusion:Wei's Three-Combination Nine-Needle Therapy combined with Siwuwuzi Decoction is effective in the treatment of primary retinitis pigmentosa(liver and kidney Yin deficiency type),which is worthy of clinical promotion.

关 键 词：原发性视网膜色素变性 韦氏三联九针 四物五子汤 

分 类 号：R245[医药卫生—针灸推拿学]