虚劳干血及糖尿病视网膜病变关系的研究.pdfVIP

提 要 目的：通过对糖尿病视网膜病变患者症状与体征的临床调研并结合眼底变化，利 用中医整体观念和辨证论治思想，分析虚劳干血与糖尿病视网膜病变的关系。 方法：1、临床调研：通过对糖尿病视网膜病变患者的临床症状和体征进行问卷 调查（详见附表），并对每位患者的临床表现进行积分。2、眼底变化：根据眼底微动 脉瘤、出血、渗出及新生血管等变化的积分及测量视网膜颞上静脉相应位置的管径并 计算其比值，分析虚劳干血与糖尿病视网膜病变关系。 结果：糖尿病视网膜病变虚劳干血症候与患者的糖尿病病程有关，与血糖水平无 关；积分越高，眼底表现越明显。眼底出血明显组较正常组视盘边缘处静脉管径细。 结论：虚劳干血症候存在于糖尿病视网膜病变各期，且糖尿病伴全身病者亦存在 虚劳干血症候；糖尿病视网膜病变患者眼底改变明显时存在脉络失养现象。 关键字 虚劳干血；糖尿病视网膜病变；临床症状；静脉管径 Study the relationship between Diabetic Retinopathy and Xulaoganxue Specialty: Ophthalmology of Traditional Chinese Medicine Author: Li Man Tutor: Prof. Liu Ling Abstract Objective: To analyse the relationship between diabetic retinopathy and Xulaoganxue by studying the symptoms and physical sign of diabetic retinopathy victims and fundus changes,and makeing use of concept of wholism and treatment based on syndrome differentiation in traditional chinese medicine combining with modern image analysis of fundus. Methods: 1.Clinical investigation and survey.To investigate the symptoms and physical sign of diabetic retinopathy victims and add the score they have scored.2.Fundus changes.Study the relationship between diabetic retinopathy and xulaoganxue by analyzing the change of microaneurysm, haemorrhage, exudation and neovascularization, measure the specific position of retinal vessel calibe and calculate their specific value. Result:Symptoms of Xulaoganxue have to do with the course of diabetes mellitus and diabetic retinopathy, and do not have the relationship with the level of blood sugar .The higher the score is,the clearer the fundus changes are.Vein calibe of Periphral vein in moderate nonproliferative diabetic retinopath