糖尿病视网膜病变分期及早期病变的证型研究探要

The relationship between classification and TCM syndrome types of Early Diabetic Retinopathy

目的:观察早期糖尿病视网膜病变(Diabetic Retinopathy,DR)荧光血管造影(Fundus fluorescein,FFA)表现,建立早期DR的FFA亚分型,探讨其临床意义及其与中医证型间的关系。方法:对100例早期DR进行FFA检查,按其分布的主要部位划分为中央型、中周型、混合型;将病例进行中医分型。研究FFA亚分型与病程进展、视力预后、误诊漏诊率及中医证型间的关系。结果:早期DR的FFA亚分型中以混合型为多占61.9％,中周型的漏诊、误诊率最高;中央型的视力较差且病程进展快,且多为中医的阴阳两虚证。结论:中央型患者多属中医的阴阳两虚证。

Objective : To investigate the various shows of diabetes retina fluorescence angiographys in early stage and differentiation in TCM and the relationship between classification and TCM syndrome types of Early Diabetic Retinopathy Methods : 100 cases of DR in early stages were divided into three groups according to the differentiation in TCM; They also were divided into center type, midperipher type and mixed type group on the basis of FFA. Ratio of DR types, visual acuity and TCM syndrome types were analyzed. Results : DR. Incidence of the mixed type (61.9%) is higher obviously than the other types. The midperipher type is easily made a wrong diagnosis and is examined by mistake. The center type is mostly YinYangLianXusyndrome, and develops faster. Conclusion: The center type is mostly YinYangLianXusyndrome. The capillary expand occurs before microaneurysm in the retina pathological changes in early stage DR.