首页|针刺联合夜视复明汤治疗糖尿病视网膜病变的疗效及对患者视力水平、眼底检查指标的影响

针刺联合夜视复明汤治疗糖尿病视网膜病变的疗效及对患者视力水平、眼底检查指标的影响

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目的 分析针刺联合夜视复明汤在糖尿病视网膜病变(DR)患者中的效果.方法 回顾性分析 2022 年 3月—2023 年 3 月日照市中医医院收治的 94 例DR患者的病历资料,按治疗方法不同将其分为对照组和试验组,各 47例.对照组采用常规西医治疗,试验组在对照组基础上采用针刺联合夜视复明汤治疗,两组均持续治疗 4周.对比两组的临床疗效、视力水平、眼底检查相关指标、不良反应发生情况.结果 试验组治疗总有效率为 93.62%,高于对照组的78.72%,差异有统计学意义(P<0.05).治疗后,试验组最佳矫正视力高于对照组,视网膜循环时间短于对照组,微血管瘤数量少于对照组,血管渗漏面积、毛细血管无灌注区面积均小于对照组,组间差异有统计学意义(P<0.05).两组不良反应发生率对比,差异无统计学意义(P>0.05).结论 针刺联合夜视复明汤治疗能够改善DR患者的视力,改善眼底循环,且安全可靠.
Effect of Acupuncture Combined with Yeshifuming Decoction on Diabetes Retinopathy and Its Influence on Patients'Visual Acuity Level and Fundus Examination Indicators
Objective To analyze the effect of acupuncture combined with Yeshifuming Decoction in patients with diabetes retinopathy(DR).Methods Retrospective analysis of medical records of 94 DR patients admitted to Rizhao Traditional Chinese Medicine Hospital from March 2022 to March 2023,divided into a control group and an experimental group according to different treatment methods,with 47 cases in each group.The control group was treated with conventional Western medicine,while the experimental group was treated with acupuncture combined with Yeshifuming Decoction on the basis of the control group,both groups received continuous treatment for 4 weeks.Compare the clinical efficacy,visual acuity level,fundus examination related indicators,and adverse reactions between two groups.Results The total effective rate of the experimental group was 93.62%,which was higher than 78.72%of the control group,the difference was statistically significant(P<0.05).After treatment,the best corrected visual acuity of the experimental group was higher than that of the control group,the retinal circulation time was shorter than that of the control group,the number of microangiomas was less than that of the control group,and the areas of vascular leakage and capillary non perfusion were smaller than those of the control group,the differences between the groups were statistically significant(P<0.05).Comparison of adverse reaction rates between two groups,the difference was not statistically significant(P>0.05).Conclusion Acupuncture combined with Yeshifuming Decoction can improve the visual acuity of DR patients,improve retinal circulation,and is safe and reliable.

Diabetes retinopathyAcupunctureYeshifuming DecoctionAdverse reactions

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日照市中医医院眼科,山东 日照 276800

糖尿病视网膜病变 针刺 夜视复明汤 不良反应

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(14)