中药治疗糖尿病视网膜病变的研究进展

文章信息/Info

• Title:中药治疗糖尿病视网膜病变的研究进展

• 卷期:2023年21卷24期

• 作者: 刘梦伟1 刘超1 范素锦1 张梓行1 吴进2 张忠勇*2

• 1.华北理工大学 中医学院 河北 唐山063210 2.河北省沧州中西医结合医院 内分泌科 河北 沧州 061000

• Author(s):Liu Mengwei1,Liu Chao1,Fan Sujin1,Zhang Zihang1,Wu Jin2,Zhang Zhongyong*2

• 1.College of Traditional Chinese Medicine,North China University of Science and Technology,Hebei Province,Tangshan063210 2.Department of Endocrinology,Cangzhou Hospital of Integrated TCM-WM,Hebei Province,Cangzhou061000

• 关键词糖尿病性视网膜病变；消渴目病；中药；综述

• Keywords:Diabetic retinopathy; Diabetes eye disease;Traditional Chinese medicine;review

• 摘要:糖尿病视网膜病变是糖尿病常见的微血管并发症之一，传统医学称之为“消渴目病”。糖尿病视网膜病变是导致成人失明的主要原因，会严重危害患者身心健康，关于该病的防治是现代医学及传统医学的研究热点及重点，但现代医学目前缺少有效的治疗方法。近年来随着传统医学的不断发展，中药治疗DR的优势日益凸显，中药组方严谨，依据中医整体观念、辨证论治的特点，从整体出发、多环节、多层面、多靶点、多途径进行治疗，调和阴阳气血，达到正气存于内，邪气不可干的目标。因此，本文从病因病机、辨证分型以及中药治疗等方面进行探讨，以期为糖尿病视网膜病变的治疗提供更多思路。                                                                                                                                                                                

• Abstract: Diabetic retinopathy is one of the common microvascular complications of diabetes, which is called “diabetes eye disease”in traditional Chinese medicine(TCM). Diabetes retinopathy is the main cause of blindness in adults, which seriously harm the physical and mental health of patients. Prevention and treatment of diabetic retinopathy is the focus and focus of modern medicine and TCM.However, modern medicine lacks effective treatment.In recent years, with the continuous development of traditional medicine, the advantages of TCM in the treatment of DR have become increasingly prominent. Chinese medicine prescription is well organized.Based on the holistic concept of TCM and the characteristics of syndrome differentiation and treatment, TCM carries out treatment from the holistic point of view, multi-link, multi-level, multi-target and multi-approach, harmonizing Yin-Yang and Qi-Blood, and achieving the goal of keeping healthy qi in the body while evil qi cannot be dried.Therefore, this article from the etiology and pathogenesis, syndrome differentiation and classification, treating with TCM and other aspects to explore, in order to provide more ideas for the treatment of diabetic retinopathy.

  糖尿病视网膜病变（diabetic retinopathy,DR）分为非增生性糖尿病视网膜病变（Non-proliferative Diabetic Retinopathy, NPDR)和增生性糖尿病视网膜病变（Proliferative Diabetic Retinopathy, PDR)，是糖尿病（diabetes mellitus,DM)高度特异性的微血管并发症，是导致成人失明的主要原因，目前其缺少有效的治疗方法[1]。相关研究显示，糖尿病病程不足10年和超过10年，DR的发病率分别为10.3%和89.7%[2]，可见早期进行干预治疗至关重要。