基于《黄帝内经》养生理论研究非增殖型糖尿病视网膜病变患者的日常护眼养生模式

Research on the Daily Eye Care and Health Care Model for Patients with Non Proliferative Diabetes Retinopathy Based on the Health Care Theory of “Huangdi Neijing”

摘要: 目的：探讨基于《黄帝内经》养生理论提出的日常护眼养生模式对非增殖型糖尿病视网膜病变患者的临床应用价值，以期为该类患者的预防调护提供可参考的中医养生护眼方案。方法：选取90 (150眼)例符合纳入标准的非增殖型糖尿病视网膜患者，使用随机数字表法随机分为研究组45例(74眼)和对照组45例(76眼)。两组患者均予以常规治疗，同时研究组采用《黄帝内经》护眼养生调护干预方案，对照组采用常规健康指导方案，6个月后评价及对比两组的疗效、眼底改变、最佳矫正视力、血糖指标、血脂指标、内皮素指标。结果：研究组较治疗组相比，总有效率更高(P < 0.05)；研究组的视力改善优于对照组(P < 0.05)；研究组的空腹血糖(FBG)、餐后2 h血糖(2hPG)水平相较于对照组更低(P < 0.05)；研究组的三酰甘油(TG)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)水平均较对照组低，高密度脂蛋白胆固醇(HDL-C)水平比对照组偏高(P < 0.05)；治疗前，两组的内皮素-1 (ET-1)水平无明显的差异性(P > 0.05)；治疗后，研究组的ET-1水平较对照组更低(P < 0.05)。结论：基于《黄帝内经》养生理论提出的日常护眼养生模式对非增殖型糖尿病视网膜病变患者具有稳定视力、降糖、降脂作用，还可改善内皮功能，是一种行而有效的中医养生护眼模式，值得临床推广应用。

Abstract: Objective: To investigate the clinical application value of the daily eye care and health care model based on the health care theory of Huangdi Neijing for patients with nonproliferative diabetes retinopathy, and to provide a reference for the prevention and care of such patients. Methods: Ninety sick patients (150 eyes) with nonproliferative diabetes retina who conform to the inclusion criteria were chosen and randomly divided into the study group (74 eyes) and the control group (76 eyes) using the random number table method, with 45 people per group. Both groups of sick patients received routine therapies, while the study group received an intervention plan for eye protection and health preservation according to the Huangdi Neijing. The control group allowed a conventional health instructions plan, and after 6 months, the efficacy, fundus changes, best corrected visual acuity, blood glucose indicators, blood lipid indicators, endothelin indicators, and hemorheological indicators of the two teams were estimated and compared. Results: Compared with the control group, the study group had a higher overall effective rate (P < 0.05); the visual improvement in the study group was better than that in the control group(P < 0.05); the levels of fasting blood glucose (FBG) and 2-hour postprandial blood glucose (2hPG) in the study group were lower than those in the control group (P < 0.05); the levels of triglycerides (TG), total cholesterol (TC), and low-density lipoprotein cholesterol (LDL-C) in the study group were lower than those in the control group, while the levels of high-density lipoprotein cholesterol (HDL-C) were higher than those in the control group (P < 0.05); before treatment, there was no significant difference in the levels of endothelin-1 (ET-1) between the two groups (P > 0.05); after treatment, the ET-1 level in the study group was lower than that in the control group (P < 0.05). Conclusion: The daily eye care and health care mode proposed based on the health care theory of Huangdi Neijing can stabilize vision, and reduce blood sugar and lipid in patients with non proliferative diabetes retinopathy, besides, it can also ameliorate endothelial function. It is an effective and practical TCM health care and eye care mode, which is worthy of clinical promotion and application.