世界中西医结合杂志
世界中西醫結閤雜誌
세계중서의결합잡지
WORLD JOURNAL OF TRADITIONAL CHINESE AND WESTERN MEDICINE
2015年
5期
678-680
,共3页
益肾明目汤%糖尿病肾病眼底病变%眼底镜
益腎明目湯%糖尿病腎病眼底病變%眼底鏡
익신명목탕%당뇨병신병안저병변%안저경
Yishen mingmu decoction%Diabetic nephropathy Kidney plus retinopathy%Fundus fluo-rescein angiography
目的：探讨益肾明目汤治疗糖尿病肾病眼底病变的作用。选取从2008年5月-2012年6月眼底镜示眼底病变为Ⅰ～Ⅱ期，近一周内测尿白蛋白≥30 mg/24 h 的糖尿病肾病伴眼底病变60例患者为研究对象。方法将糖尿病肾病伴眼底病变60例患者随机分为两组，治疗组30例，对照组30例。对照组予常规治疗，治疗组在常规治疗的基础上加用益肾明目汤治疗，共治疗12个月。观察两组患者治疗后6个月和12个月眼底病变改善情况。结果治疗6个月后，治疗组总有效率为56.7%，对照组总有效率为33.3%，治疗组疗效高于对照组（P ﹤0.05）；治疗12个月后，治疗组总有效率96.7%，对照组总有效率为70%，治疗组疗效高于对照组（P ﹤0.05）。治疗6个月后治疗组眼底血管改善情况优于对照组（P ﹤0.05）；治疗12个月后，治疗组眼底血管改善情况更优于对照组（P ﹤0.05）。结论益肾明目汤对糖尿病肾病眼底病变有较好的疗效。
目的：探討益腎明目湯治療糖尿病腎病眼底病變的作用。選取從2008年5月-2012年6月眼底鏡示眼底病變為Ⅰ～Ⅱ期，近一週內測尿白蛋白≥30 mg/24 h 的糖尿病腎病伴眼底病變60例患者為研究對象。方法將糖尿病腎病伴眼底病變60例患者隨機分為兩組，治療組30例，對照組30例。對照組予常規治療，治療組在常規治療的基礎上加用益腎明目湯治療，共治療12箇月。觀察兩組患者治療後6箇月和12箇月眼底病變改善情況。結果治療6箇月後，治療組總有效率為56.7%，對照組總有效率為33.3%，治療組療效高于對照組（P ﹤0.05）；治療12箇月後，治療組總有效率96.7%，對照組總有效率為70%，治療組療效高于對照組（P ﹤0.05）。治療6箇月後治療組眼底血管改善情況優于對照組（P ﹤0.05）；治療12箇月後，治療組眼底血管改善情況更優于對照組（P ﹤0.05）。結論益腎明目湯對糖尿病腎病眼底病變有較好的療效。
목적：탐토익신명목탕치료당뇨병신병안저병변적작용。선취종2008년5월-2012년6월안저경시안저병변위Ⅰ～Ⅱ기，근일주내측뇨백단백≥30 mg/24 h 적당뇨병신병반안저병변60례환자위연구대상。방법장당뇨병신병반안저병변60례환자수궤분위량조，치료조30례，대조조30례。대조조여상규치료，치료조재상규치료적기출상가용익신명목탕치료，공치료12개월。관찰량조환자치료후6개월화12개월안저병변개선정황。결과치료6개월후，치료조총유효솔위56.7%，대조조총유효솔위33.3%，치료조료효고우대조조（P ﹤0.05）；치료12개월후，치료조총유효솔96.7%，대조조총유효솔위70%，치료조료효고우대조조（P ﹤0.05）。치료6개월후치료조안저혈관개선정황우우대조조（P ﹤0.05）；치료12개월후，치료조안저혈관개선정황경우우대조조（P ﹤0.05）。결론익신명목탕대당뇨병신병안저병변유교호적료효。
Objective To study Yishen Mingmu decoction on 30 cases with diabetic nephropathy Kidney plus retinopathy. Methods From May 2008 to June 2012,60 cases with diabetic nephropathy and retinopathy were enrolled,showing phase Ⅰ - Ⅱ through ophthalmoscope,nearly a weeK measured urinary al-bumin≥30 mg/ 24 h. The 60 patients were randomly divided into two groups,the conventional group and the treatment group. They were treated for 12 months. The situation of retinopathy after 6 months and 12 months were observed. Results After 6 months of treatment,the total efficiency were 56. 7% in the treatment group and 33. 3% in the control group. After 12 months of treatment,the total efficiency were 96. 7% in the treat-ment group and 70% in the control group. The efficacy of the treatment group was better than that of the con-ventional group. Fluorescence fundus examination revealed:six months later,retinopathy in the treatment group improved more significantly than the conventional group with a statistically significant difference(P ﹤0. 0 5). After 12 months the difference was still statistically significant(P ﹤ 0. 0 05). Conclusions Yishen mingmu decoction has a good effect for patients with diabetic nephropathy Kidney plus retinopathy.
