糖尿病性視網(wǎng)膜病變中醫(yī)證型與視覺(jué)電生理相關(guān)性的分析.pdf

1、南京中醫(yī)藥大學(xué)碩士學(xué)位論文糖尿病性視網(wǎng)膜病變中醫(yī)證型與視覺(jué)電生理相關(guān)性的分析姓名：史葉琴申請(qǐng)學(xué)位級(jí)別：碩士專業(yè)：中醫(yī)學(xué)（中西醫(yī)結(jié)合）指導(dǎo)教師：丁淑華20090601ABSl限A(：rAbstractObjective：To’analyzechangesofvisualelectrophysiologyexaminationatdieffrentstagesofdiabeticretinopathy(DR)，andapproachthec

2、orrelationsbetweenchangesofvisualelectrophysiologygicalwithTCMsyndrometypesofDRMethods：Toanalyze21outpatients(42eyes)withDRtreatedbyOphthalmicDeptofJiangsuProvincicalHospitalofTraditionalChineseMedieinefromJun2008toMar20

3、09ObservetheclinicalstageandthesyndromedistributionofDRpatients，andsummarizeandanalyze，theresultsofflashelectroretinogram(FERG)andpatternvisualevokedpotential(PVEP)，thencomparetheresultswithsyndromedistributiontogettokno

4、wwhetherthereispeninecebetweenthemornotResults：①withthedevelopmentofDR，thepeaktimeswcrcsignificantlylengthened(P001)andamplitudesweredecreased(P001)inP100waveofpatternvisualevokedpotential(PVEP)；thepeaktimesweresignifica

5、ntlylengthened(P001)inawavesofflashelectroretinogram(FERG)；allthepcal【timesofalltheOPswcrcsignificantlylengthened(P005)andaJItheamplitudesofalltheOPswercdecreased(P005)，alsoEOamplitudesofOPsweresignificantlydecreased(P00

6、1)②withthechangeofTCMsyndrometypesofDR(transformedfromYmdeficiencyanddeficiencyofbothQiandYintodeficiencyofbothYmandYang)，amplitudesinP100waveofP—VEPindeficiencyofbothQiandYinanddeficiencyofbothYinandYangweredecreased(P0

7、01)；thepeaktimesinawavesofFERGindeficiencyofbothYinandYangwercsignificantlylengthened(P005)，thetheamplitudesinbwavesofFERGindeficiencyofbothYinandYangweresignificantlydecreased(PO05)；TheP2、P4peaktimesofOPsindeficiencyofb

8、othYmandYangweresignificantlylengthened(P005)，the0S1、OS2、0S4、XoamplitudesofOPsweresignificantlydecreased(P001)Conclusions：withthedevelopmentofDRfromnonproliferativediabeticretinopathytoproliferativediabeticretinopathythe

9、indexsofvisualelectrophysiologydefectinDRpatients(P—VEP、thepeaktimesinaandbwavesofF—ERG、allthepeal【timesandtheamplitudesofaHtheOPsand∑OamplitudesofOPs)showsaPositivecorrelationwiththechangeofTCMsyndrometypesofDR(transfor

10、medfromYindeficiencyanddeficiencyofbothoiandYintodeficiencyofbothYinandYang)，thesomeindexsofvisualelectrophysiologydefectinDRpatients(amplitudesinP100waveofPVEP、thepeaktimesinawavesandamplitudesinbwavesofFERG、theP2、P4pea

11、l【timesofOPs、theOSl、0S2、0S4、XoamplitudesofOPs)showsadegreeofcorrelationandthechangesofvisualelectrophysiologyindeficiencyofbothYmandYangweremainlyTherefore，takingvisualelectrophysiologyexaminationasanobjeetivebasisinclin