摘要
目的 :观察糖尿病视网膜病变眼底西医诊断、分级与中医辨证分型是否显著相关 ,并探讨其机理。方法 :对 196例糖尿病视网膜病变眼底进行常规间接检眼镜或眼底荧光造影检查 ,根据眼底血管病变程度分为Ⅰ级、Ⅱ级、Ⅲ级 ,并根据全身证候、脉象 ,中医辨证分型分为阴虚热盛、气阴两虚、气滞血瘀型 ,比较二者的相关性。结果 :提示二者之间显著相关 (P <0 0 0 5 ) ,且单纯糖尿病者视网膜病变常较轻 ,多在Ⅰ、Ⅱ级 ,而伴有高血压、高血脂的患者病变有加重的趋势 ,多在Ⅱ、Ⅲ级 (P <0 0 0 5 )。结论 :中医辨证分型与西医眼底病变分级密切相关 ,且病证由阴虚热盛→气阴两虚→气滞血瘀演变过程中 ,其视网膜病变的眼底改变呈加重趋势 。
To observe the correlation between the clinical diagnosis、grading and the TCM syndrome type of diabetic retinopathy.Then to discuss the mechanism.Methods 98 cases with diabetic retinopathy were examined with indirect ophthalmoscopy.The diabetic retinopathy was classified as grade Ⅰ、Ⅱ、Ⅲ,and the TCM syndrome type of the patients were differentiated as yin deficiency higher heat syndrome、Qi-yin deficiency syndrome and qi stagnation induced Blood-stasis syndrome by the systemic symptoms,pulse type.Then observe the correlation between them.Results the results showed obvious correlation between them ( P <0.005).The results also showed retrogressive change of diabetic retinopathy tended to have minor retinal disorders usually type Ⅰ or Ⅱ.Patient with hypertension,blood lipid tended to have much severer retinal disorders,usually type Ⅲ( P <0.005).Conclusion This research indicates that there is a close relationship between TCM syndrome type and West Medicine about retinal disorder.Retinal disorders were trended to severer in the development of DR group from yin deficiency higher heat syndrome to Qi-yin deficiency syndrome,then to qi stagnation induced Blood-stasis syndrome.So it gives the theoretical data for the co-treatment of retinal disorder of TCM and West Medicine as well as the development of the research of TCM retinal discorder.
出处
《中医药学报》
CAS
2004年第4期6-8,共3页
Acta Chinese Medicine and Pharmacology
