西部中医药
西部中醫藥
서부중의약
GANSU JOURNAL OF TRADITIONAL CHINESE MEDICINE
2014年
4期
5-7
,共3页
邓洪%谢青%郑云燕%王庆开
鄧洪%謝青%鄭雲燕%王慶開
산홍%사청%정운연%왕경개
糖尿病视网膜病变(DR)%维生素%三七
糖尿病視網膜病變(DR)%維生素%三七
당뇨병시망막병변(DR)%유생소%삼칠
diabetic retinopathy%Vitamin E capsule%SanQi powder
目的:观察维生素E胶囊联合三七粉治疗早期糖尿病视网膜病变的临床疗效。方法:将90例(179只眼)早期糖尿病视网膜病变患者随机分为3组。治疗组30例(60只眼),口服维生素E胶丸加三七粉;对照组30例(60只眼),口服羟苯磺酸钙分散片;常规治疗组30例(59只眼),仅对基础疾病进行治疗。用药时间120天。治疗前后对所有患者进行眼底检查及荧光素眼底血管造影、视力、视野检查,同时检测肝肾功能、血液流变学等指标。结果:治疗组和对照组的眼底微血管病变和血液黏度均得到一定程度的改善,眼底水肿减退,微血管瘤减少,与常规治疗组比较差异显著(P<0.05)。结论:维生素E加三七能改善早期糖尿病视网膜病变视网膜的缺血缺氧状态,促进视网膜水肿和微血管瘤的吸收,延缓视力下降的速度。
目的:觀察維生素E膠囊聯閤三七粉治療早期糖尿病視網膜病變的臨床療效。方法:將90例(179隻眼)早期糖尿病視網膜病變患者隨機分為3組。治療組30例(60隻眼),口服維生素E膠汍加三七粉;對照組30例(60隻眼),口服羥苯磺痠鈣分散片;常規治療組30例(59隻眼),僅對基礎疾病進行治療。用藥時間120天。治療前後對所有患者進行眼底檢查及熒光素眼底血管造影、視力、視野檢查,同時檢測肝腎功能、血液流變學等指標。結果:治療組和對照組的眼底微血管病變和血液黏度均得到一定程度的改善,眼底水腫減退,微血管瘤減少,與常規治療組比較差異顯著(P<0.05)。結論:維生素E加三七能改善早期糖尿病視網膜病變視網膜的缺血缺氧狀態,促進視網膜水腫和微血管瘤的吸收,延緩視力下降的速度。
목적:관찰유생소E효낭연합삼칠분치료조기당뇨병시망막병변적림상료효。방법:장90례(179지안)조기당뇨병시망막병변환자수궤분위3조。치료조30례(60지안),구복유생소E효환가삼칠분;대조조30례(60지안),구복간분광산개분산편;상규치료조30례(59지안),부대기출질병진행치료。용약시간120천。치료전후대소유환자진행안저검사급형광소안저혈관조영、시력、시야검사,동시검측간신공능、혈액류변학등지표。결과:치료조화대조조적안저미혈관병변화혈액점도균득도일정정도적개선,안저수종감퇴,미혈관류감소,여상규치료조비교차이현저(P<0.05)。결론:유생소E가삼칠능개선조기당뇨병시망막병변시망막적결혈결양상태,촉진시망막수종화미혈관류적흡수,연완시력하강적속도。
Objective:To observe clinical effects of Vitamin E capsule and SanQi (Panax pseudo-ginseng) powder in treating early diabetic retinopathy (DR). Methods:Ninety patients (including 179 eyes) were randomized into three groups. 30 cases of the treatment group (60 eyes), who took Vitamin E capsule and SanQi powder;30 cas-es of the control group (60 eyes), who were administered with calcium dobesilate dispersible tablets;and 30 cases of routine treatment group (59 eyes). All the patients were treated for 120 days. Fundus examination, fluorescence fun-dus angiography, the examinations of sight and visual field of the patients were preformed before and after treating;at the same time, the functions of liver and kidney, blood rheology and others were detected. Results:Microvascular disease of the fundus and blood viscosity in both groups were improved, fundus edema and microaneurysm were re-lieved, the difference was significant when the treatment group was compared with the control group (P<0.05). Conclusion:Vitamin E capsule and SanQi powder could improve the state of ischemia and hypoxia in the patients with early DR, promote the absorption of retinal edema and microaneurysm and delay the loss of vision.