眼底黄斑病变中医症型分析与中药分类治疗.docVIP

眼底黄斑病变中医症型分析与中药分类治疗 　　[摘要] 目的：探讨眼底黄斑病变的中医症型与中药的分类治疗。方法：回顾性分析本院2006~2010年临床中收治的180例眼底黄斑病变患者，分析并讨论其中医症型与中药的分类治疗。结果：通过辨证论治将黄斑病变分为脾胃湿热型、脾气虚弱型、肝肾亏虚型3个症型，治疗后AMD、中浆、中渗、高度近视及眼底黄斑出血、糖尿病视网膜病变影响黄斑、高血压视网膜病变影响黄斑的治疗总有效率分别为91.9%、97.0%、91.3%、88.5%、93.4%、90.0%。结论：通过辨证论治，并根据症型遣方用药，各型眼底黄斑病变均收到良好的治疗效果。 　　[关键词] 眼底黄斑病变；中医症型；中药；分类治疗 　　[中图分类号] R276.7 [文献标识码]B [文章编号]1674-4721（2011）03（b）-102-02 　　 　　Macular diseases with traditional Chinese medicine traditional Chinese medicine classification of disease type of treatment 　　ZHU Lihui 　　Hospital of Central South University of Forestry and Technology, Hunan Province, Changsha 410004, China 　　[Abstract] Objective: To investigate the retinal disease macular degeneration in Chinese medicine and Chinese medicine classification of type of treatment. Methods: Retrospective analysis of our hospital from 2006 to 2010, 180 patients treated in clinical macular lesions, analyze and discuss the Chinese medicine classification of disease type and treatment. Results: The diagnosis and treatment would be divided into the spleen-type macular degeneration, weakness of temper, liver and kidney deficiency type three patients, treatment after the AMD, the pulp, the permeability, high myopia and macular hemorrhage, macular impact of diabetic retinopathy, high Retinopathy of blood pressure treatment of macular total effective rate was 91.9%, 97.0%, 91.3%, 88.5%, 93.4%, 90.0%. Conclusion: The diagnosis and treatment, and herbal prescription based on disease type, the type of macular diseases have received good treatment. 　　[Key words] Macular lesions; TCM syndrome-type; Chinese medicine; Classification and treatment 　　 　　黄斑病变是眼部疾病中常见的一类疾病，主要包括中心性浆液性脉络膜视网膜病变，中心性渗出性视网膜病变，黄斑囊样水肿，老年性黄斑变性，高度近视黄斑出血等眼病以及高血压性视网膜病变，对视力的影响较为严重。经过??献报道可知，西医在这个方面疗效甚微，所以一般很多医院在对于黄斑病变的治疗上多数采用中医，中医治疗对于黄斑病变进行合理的分型，分型不同，则处理的处方用药各异，所以本文对黄斑病变进行分型，并且根据每种不同的类型对症下药。本科通过近几年来对180例黄斑病变的中医的辨证分析，以及常用中药的分类治疗进行探讨总结，以期为临床治疗黄斑病变的辨证论治及处方遣药提供新的思路。 　　1资料与方法 　　1.1一般资料 　　病例来源于本院2006~2010年收治的住院及门诊眼底黄斑病变患者