中醫(yī)辨證治療青光眼性視神經(jīng)萎縮的臨床研究.pdf

1、南京中醫(yī)藥大學(xué)碩士學(xué)位論文中醫(yī)辨證治療青光眼性視神經(jīng)萎縮的臨床研究姓名：童念庭申請學(xué)位級別：碩士專業(yè)：中醫(yī)眼科學(xué)指導(dǎo)教師：丁淑華20080501英文摘要ClinicalStudyofDifferentiationandTreatmentofTraditionalChineseMedicationonOpticAtrophyResultingfromGlaucomaABSTRACTObjective：ClinicalEffectofDif

2、ferentiationandTreatmentofTraditionalChineseMedicationonopticatrophyresultingfromglaucomaMethods：Inthetreatmentgroup，divided22cases05eyes)withopticatrophyresultingfromglaucomaintofourgroupswithdeficiencyofliverkidneydefi

3、ciencyofqiandblood，qiandliverstagnationaswellasyindeficiencyandfire—excesstapiesThefourgroupsweretreatedrespectivelywithmodifiedzuoguiyin(nourishingliverandkidney)，modifiedbazhentang(tonifyingqiandblood)modifieddanzhixia

4、oyaosan(regulatingliverqi)modifiedzhibaidihuangtang(nourishingyintoclearpathogenicheat)ThecontrolgroupWastreatedwithMecobalaminComparetheresultsinthebothgroupsbeforeandaftertreatmentbyperimetryComparetheresultsinthetreat

5、mentgroupbeforeandaftertreatmentbyvisualtestandVisualEvokedPotential(VEP)Then，inthetreatmentgroup，divided22cases05eyes)withopticatrophyresultingfromglaucomaintotwogroupswithtreatmentfor3monthsandfor2months，comparetheirdi

6、screpancyintheeffectiverateandsignificanteffectiverateResults：1Visionwereimprovedinthetreatmentgroup，howeverthecurativeeffect‘a(chǎn)ftertreatmentWassignificantlysuperiortothatbefore2Lightsensibilityandvisualdefectsonaveragewe

7、realsoimprovedinthetreatmentgroupwithpermitryThecurativeeffectoftreatmentgroupWassignificantlysuperiortothatofcontrolgroup3IntheVisualEvokedPotential(VEP)analysis，PVEPinthetreatmentgroupindicatedthattheAmplitudeofP100hig

8、htenedandlatentperiodshortened，thecurativeeffectaftertreatmentwasalsosignificantlysuperiortothatbefore4Thevision—improvingandthesignificanteffectiverateincreasingintreatmentfor3monthswassignificantlysuperiortothatoffor2m

9、onthsConclusion：Inthecaseofcontrollingocularpressure(10—21mmHg)，comparedtothecontrolledgroup，thetreatmentgroupwithapplicationofDifferentiationandTreatmentofTraditionalChineseMedicationindividuallygotbetterclinicalefficac