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吴星伟,唐由之.中医药治疗视网膜色素变性的闪烁光视网膜电图研究[J].,1996,(6):336-339
中医药治疗视网膜色素变性的闪烁光视网膜电图研究
Study on Treatment of Retinitis Pigmentosa with Traditional Chinese Medicine by Flicker Electroretinogram
  
DOI:
中文关键词:  视网膜色素变性  闪烁光反应  闪烁指数  视网膜电图  中医药治疗
英文关键词:retinitis pigmentosa  flicker response  flicker index  electroretinogram  treatment of traditional Chinese medicine
基金项目:
Author NameAffiliation
吴星伟  
唐由之  
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中文摘要:
      采用改良的闪烁光视网膜电图(ERG)记录与分析技术对经中医药治疗的视网膜色素变性(RP)54例患者(106只眼)进行了研究。结果表明:(1)闪烁光ERG在RP眼的检测远较ERG的其它成分敏感,结合红光谱效果更佳;(2)各型RP眼的30Hz闪烁指数与反应时间在治疗后发生不同程度的改善,在脾肾阳虚型和常染色体显性遗传RP的改变具有显著性意义(P<0.01);(3)不同频率闪烁光反应相位角值在治疗后的降低亦具有统计学意义。从而提示中医药治疗可以有效地改善RP眼视网膜锥体系统功能,增进其神经网络的生物活性,对延缓病情进展,保持中心视力具有一定的临床意义。
英文摘要:
      Study on treatment of 54 patients(106 eyes) of retinitis pigmentosa(RP) with traditional Chinese medicine was conducted by using modified method of electroretinography. Results showed:(1)Flicker response of electroretinogram was the most sensitive criterion in examination,it was more effective when combined with infrared spectrogram.(27) The 30 Hz flicker index,response time were improved after TCM therapy in different hereditary types of RP,the improvement was significant in patients with Yang-Deficiency of Spleen-Kidney Syndrome and those of autosomal dominant inheritance type(P<0.01).(3) Decrease of phase angle under different frequency of flicker after treatment was also significant statistically.The results suggested that flicker responses,which represents mainly retinal cone activity of patients,could be improved to a certain extent by TCM treatment,even in those with advanced retinal degeneration.TCM treatment could also enhance the bioactivity of nerve network and therefore have a definite significance in retarding the progression of disease and keeping the central vision.The flicker ERG,especially its flicker index,is an effective, sensitive and useful parameter for detection of visual function in patient with retinitis pigmentosa.
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