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糖尿病患者急性视神经病变的综合治疗

A study on treatment of acute diabetic optic neuropathy with integrative therapy

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【作者】 李志英王燕叶笑妮王萍

【Author】 LI ZHiying,WANG Yan,YE Xaoni,et al Department of Ophthalmology, The First Affiliated Hospital, Guangzhou University of TCM, Guangdong 510405,China

【机构】 广州中医药大学第一附属医院眼科广州中医药大学第一附属医院眼科 广州510405广州510405广州510405

【摘要】 目的 探讨中西医结合治疗糖尿病患者急性视神经病变的方法。方法 在接受治疗的患者中应用了醒脑静注射液、川芎嗪注射液或复方丹参注射液静脉静脉滴注治疗 ;并用了内服自拟中药方和眼部电控地塞米松离子导入疗法。观察了治疗前后的视力、眼底、视觉诱发电位、荧光素眼底血管造影和视野方面的变化。结果 接受治疗的患者共有 11例 (2 0只眼 ) ,治愈 10例 (17只眼 ) ;好转 2例 (3只眼 )。结论 中西医综合方法治疗糖尿病患者急性视神经病变具有缩短疗程、皮质类固醇用量少及未发现全身不良反应等优点

【Abstract】 OBJECTIVE To investigate the treatment for acute diabetic optic neuropathy with integrated traditional Chinese medicine and western medicine METHODS Injection xingnaojing(醒脑静),ligustrazine, compound injection salvia were applied by intravenous drop in the patients Moreover traditional Chinese medicine prescription studied and named by selves and dexamethasone iontophoresis were applied The changes of visual acuity, fundus, visual evoked potential (VEP), fluorescein fundus angiography (FFA), and visual field were investigated before and after treatment RESULTS There were 20 eyes of 11 cases in the treated patients Seventy eyes of ten cases were cured, and three eyes of two cases improved among them CONCLUSIONS Integrative therapy with traditional Chinese and western medicine could be an effective and simple method, and could shorten the course of treatment, abate system side effect of hormone for treatment of acute diabetic optic neuropathy

【基金】 广东省教育厅自然科学基金研究项目(2 0 0 074)
  • 【文献出处】 中国中医眼科杂志 ,Journal of Traditional Chinese Ophthalmology , 编辑部邮箱 ,2003年03期
  • 【分类号】R774.6
  • 【被引频次】7
  • 【下载频次】136
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