首页|中药干预糖尿病视网膜病变氧化应激机制的研究进展

中药干预糖尿病视网膜病变氧化应激机制的研究进展

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糖尿病视网膜病变是指糖尿病患者出现的视网膜微血管疾病,以视网膜内出血、硬性渗出、棉絮斑、黄斑水肿、微血管瘤等为临床特征,严重者可出现牵拉性视网膜脱离,出现视力损害.糖尿病视网膜病变作为糖尿病最常见的微血管并发症之一,致盲率高,发病率亦在工作人群中居第一位.糖尿病在中医学中属"消渴病"范畴,糖尿病视网膜病变属于"雀目""视瞻昏渺""血灌瞳神""云雾移睛"或"暴盲"范畴,现代中医学称糖尿病视网膜病变为"消渴目病".自古以来,众多先贤对于消渴目病的病机、治疗颇有研究,这也为现代中医学认识、治疗糖尿病视网膜病变奠定了基础.当前糖尿病视网膜病变的发病机制尚未完全阐明,有研究表明,氧化应激是糖尿病并发症中重要的细胞机制之一,可诱导细胞凋亡、微血管损伤,导致血-视网膜屏障损害,进而导致糖尿病视网膜病变的发生.如何有效防治糖尿病视网膜病变仍是目前亟待解决的难题,激光光凝术、抗血管内皮生长因子药物等治疗方法有效,但其局限性及不良反应也不容忽视.近年来对于中医药防治糖尿病视网膜病变的研究日益增多,中医药在治疗糖尿病视网膜病变中发挥了其独特优势,可与西医治疗相辅相成.文章就氧化应激机制与糖尿病视网膜病变的关系以及干预糖尿病视网膜病变氧化应激途径的相关中药单体进行综述,以期为糖尿病视网膜病变的中西医结合系统防治提供一定依据.
A review on the mechanism of TCM medicine on oxidative stress in diabetic retinopathy
Diabetic retinopathy(DR)refers to retinal microvascular disease in diabetic patients,characterized by intraretinal hemorrhage,hard exudation,cotton wool spots,macular edema,microangioma,etc.,and in severe cases,traction retinal detachment and visual impairment may occur.As one of the most common microvascular complications of diabetes,DR has a high incidence of blindness,and its morbidity ranks first in the working population.Diabetes belongs to the category of diabetes in TCM,DR is also known as sparrow eyes,dimmed vision,blood flooding pupils,cloudy eyes or sudden blindness.Modern TCM calls DR dispersion-thirst eye disease.Since ancient times,many predecessors have studied the pathological mechanism and treatment of dispersiom-thirst eye disease,which has laid a foundation for the understanding and treatment of DR in modem TCM.At present,the pathogenesis of DR is not completely clear.Studies have shown that oxidative stress is one of the important cellular mechanisms in diabetic complications,which can induce apoptosis,microvascular damage,and lead to the damage of blood-retinal barrier,eventually leading to the occurrence of DR.How to effectively prevent and treat DR is an urgent problem to be solved.Treatment methods such as laser photocoagulation and anti-vascular endothelial growth factor drugs are effective,but their limitations and adverse reactions cannot be ignored.In recent years,the research on the prevention and treatment of DR in TCM has been increasing.TCM has played its unique advantages in the treatment of DR,and it can complement Western medicine treatment.This article reviews the relationship between the mechanism of oxidative stress and DR,and the related TCM medicine monomers that intervene in the oxidative stress pathway of DR,in order to provide some thinking for the systematic prevention and treatment of DR in the integrated medicine.

Diabetic retinopathyOxidative stressMonomers of TCM medicineResearch progress

田久卓、李长辉

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辽宁中医药大学,辽宁 沈阳,110847

辽宁中医药大学附属医院,辽宁 沈阳,110032

糖尿病视网膜病变 氧化应激 中药单体 研究进展

2024

中医临床研究
中华中医药学会

中医临床研究

影响因子:0.839
ISSN:1674-7860
年,卷(期):2024.16(11)