【摘要】 目的:探讨针刺治疗糖尿病视网膜病变的临床疗效及取效机理。方法:将120例糖尿病视网膜病变患者随机分为观察组和对照组,每组60例,在常规糖尿病治疗的基础上,观察组取穴以调理脾胃为目的,对照组以眼周穴位为主治疗。以眼底状况、血糖、血脂、一氧化氮(NO)、内皮素(ET)水平进行临床疗效评定。结果:调理脾胃针法不仅能改善患者的眼底状况,而且对患者的糖、脂代谢和NO、ET水平都有良性的调节作用,与对照组比较差异有显著性或非常显著性意义(P<0·05,P<0·01)。结论:调理脾胃针法是治疗糖尿病视网膜病变的有效方法,其取效机制可能与调节了血管活性物质NO、ET水平有关。更多还原

【Abstract】 Objective To probe clinical therapeutic effect of acupuncture on diabetic retinopathy and the mechanism. Methods One hundred and twenty cases of diabetic retinopathy were randomly divided into an observed group and a control group, 60 cases in each group. On the basis of routine diabetic treatment, the observation group were treated with the acupoints for regulating the spleen and stomach, and the control group with the acupoints around eye mainly. Clinical therapeutic effect was evaluated by eye fundus condition, blood glucose, blood lipids, nitric oxide (NO) and endothelin (ET) levels. Results The needling method for regulating the spleen and stomach not only can improve the eye fundus condition, but also has benign regulative action on metabolism of blood glucose and blood lipids, and NO and ET levels, with significant differences as compared with those in the control group (P<0.05, P<0.01 ). Conclusion The needling method for regulating the spleen and stomach is an effective therapy for diabetic retinopathy, and the mechanism is possibly related with the regulation of levels of vascular active substances, NO and ET.更多还原