芪明颗粒治疗肝肾阴虚型非增殖期糖尿病视网膜病变患者的临床效果分析

Effect of Qiming granule in the treatment of patients with liver and kidney Yin deficiency type of non proliferative diabetic retinopathy

目的探讨肝肾阴虚型非增殖期糖尿病视网膜病变患者经芪明颗粒治疗的临床效果。方法 86例患者均为本院2014年10月至2016年10月收治的非增殖期糖尿病视网膜病变患者,按照入院顺序,单号43例归入对照组,双号43例归入观察组。两组患者均接受常规综合治疗,对照组患者在综合治疗基础上给予阿司匹林肠溶片治疗,观察组患者在综合治疗基础上给予芪明颗粒治疗。3个月后,评价两组患者的治疗效果,分析两组患者血糖控制情况,比较两组患者黄斑水肿消失时间。结果观察组患者治疗总有效率较对照组显著升高,差异有统计学意义(P<0.05)。两组患者治疗后血糖均得到了有效控制(P<0.05),但两组患者治疗后血糖情况组间比较,差异无统计学意义(P>0.05)。观察组患者黄斑水肿消失时间显著短于对照组,差异有统计学意义(P<0.05)。结论针对非增殖期糖尿病视网膜病变可行中医药物芪明颗粒治疗,不但可有效控制血糖,改善视力状况,更能帮助患者快速消除黄斑水肿状况,防止新生血管生成,阻止病情发展。

Objective To investigate the clinical effect of Qiming granule in the treatment of liver and kidney Yin deficiency type of non proliferative diabetic retinopathy patients. Methods Eighty-six patients with non proliferative diabetic retinopathy in our hospital from October 2014 to October 2016 were enrolled and divided into two groups according to admission order, the single numbers were grouped into control group and the even numbers were grouped into observation group,with 43 cases in each group. All the patients received conventional comprehensive treatment, and the control group was given aspirin on the basis of conventional treatment, while the observation group was treated with Qiming granule. After 3 months of treatment, the treatment effects, the blood glucose controlling situation, and the macular edema disappearance time were compared in the two groups. Results The total effective rate of the observation group was significantly higher than that of the control group(P<0.05). The levels of blood glucose of the two groups were controlled after treatment(P<0.05), but no significant difference was found between the two groups after treatment(P>0.05). The macular edema disappearance time of the observation group was significantly shorter than that of the control group(P<0.05). Conclusion Qiming granule in the treatment of liver and kidney yin de ficiency type of non proliferative diabetic retinopathy can control the level of blood glucose, improve the sight situation, eliminate the macular edema situation, prevent new angiogenesis and illness development.