期刊文献+
共找到6篇文章
< 1 >
每页显示 20 50 100
OCTA定量分析补阳还五汤加味对非增殖型糖尿病视网膜病变患者视盘血流的影响 被引量:7
1
作者 石颖 陈子扬 +3 位作者 叶照达 柯发杰 胡艳红 陈胜 《国际眼科杂志》 CAS 北大核心 2023年第12期2040-2045,共6页
目的:观察补阳还五汤加味治疗气阴两虚、络脉瘀阻型非增殖型糖尿病视网膜病变(NPDR)的临床疗效,并应用光学相干断层扫描血管成像(OCTA)定量分析治疗前后视盘旁血流密度的变化。方法:采用前瞻性随机对照试验。收集2022-06/11期间我院收... 目的:观察补阳还五汤加味治疗气阴两虚、络脉瘀阻型非增殖型糖尿病视网膜病变(NPDR)的临床疗效,并应用光学相干断层扫描血管成像(OCTA)定量分析治疗前后视盘旁血流密度的变化。方法:采用前瞻性随机对照试验。收集2022-06/11期间我院收治的符合气阴两虚、络脉瘀阻型NPDR患者58例99眼,随机分为对照组29例48眼,采用2019年美国眼科学会发布的糖尿病视网膜病变推荐方案进行基础治疗(对于轻度NPDR患者进行控制血糖、糖尿病健康教育、定期随访;中度NPDR患者必要时增加局部或格栅样激光光凝治疗),观察组29例51眼在对照组的基础上加用补阳还五汤加味口服治疗1mo。比较两组患者治疗前后最佳矫正视力(BCVA)、中医证候疗效、视盘旁放射状毛细血管网血流密度(ppVD)及视盘旁视网膜神经纤维层(pRNFL)厚度变化。结果:治疗1mo后观察组BCVA(LogMAR)为0.20(0.10,0.30),较对照组0.30(0.20,0.40)明显改善(P<0.05)。治疗1mo后观察组中医证候疗效优于对照组(P<0.05)。观察组治疗1mo后各象限ppVD均较治疗前明显提高,且观察组各象限ppVD均高于对照组(P<0.05)。观察组治疗1mo后上方、颞侧象限及全周平均pRNFL厚度较治疗前升高,且观察组上方、颞侧、下方象限和全周平均pRNFL厚度均高于对照组(P<0.05)。结论:气阴两虚、络脉瘀阻型NPDR患者服用补阳还五汤加味后可改善视力、提高中医证候疗效,可能与其能提高视盘旁放射状毛细血管网血流密度和减少视盘旁神经纤维层的损伤有关。 展开更多
关键词 非增殖型糖尿病视网膜病变 补阳还五汤加味 视盘血流 光学相干断层扫描血管成像(OCTA)
暂未订购
葡萄膜炎并发白内障术中使用Chop钩象限性机械扩张瞳孔的效果 被引量:2
2
作者 陈子扬 曹俊昌 +2 位作者 叶照达 陈胜 胡艳红 《国际眼科杂志》 CAS 北大核心 2022年第12期1943-1947,共5页
目的:报道在葡萄膜炎并发白内障患者的白内障手术中使用一种特殊的Chop钩象限性机械扩张瞳孔的手术效果。方法:单手术、回顾性、非比较病例报道。纳入在白内障术中接受Chop钩象限性机械扩张瞳孔特殊技术治疗的葡萄膜炎并发白内障患者。... 目的:报道在葡萄膜炎并发白内障患者的白内障手术中使用一种特殊的Chop钩象限性机械扩张瞳孔的手术效果。方法:单手术、回顾性、非比较病例报道。纳入在白内障术中接受Chop钩象限性机械扩张瞳孔特殊技术治疗的葡萄膜炎并发白内障患者。结果:共14例葡萄膜炎并发白内障患者16眼,男性5例,女性9例,平均年龄58.0±13.8(29~79)岁,在白内障手术中接受Chop钩象限性机械扩张瞳孔治疗。采用象限性机械瞳孔扩张后,扩张瞳孔直径为5.81±0.46(5.0~6.5)mm,并可保持至手术结束。术后,瞳孔居中,约为圆形,瞳孔直径为3.0~4.0mm。在某些情况下,在虹膜和瞳孔的边缘观察到小切迹,但患者没有出现眩光不适,直接和间接的光反射大致正常。散瞳孔治疗后,瞳孔变圆,与人工晶状体无粘连,术后最佳矫正视力(BCVA)明显优于术前(P<0.01)。术中及术后随访期间未观察到严重的并发症,如悬韧带断裂、囊膜边缘破裂、前房积血、前葡萄膜炎复发、角膜水肿、眼压升高(IOP>21mmHg)、虹膜撕裂、虹膜异常、后粘连。结论:该象限机械瞳孔扩张技术对于葡萄膜炎并发白内障患者是一种简单有效的白内障手术方法,且并发症发生率低。 展开更多
关键词 瞳孔 扩张 葡萄膜炎 并发性白内障
暂未订购
角膜塑形镜的偏心对眼轴及视觉质量的影响 被引量:6
3
作者 陈子扬 叶照达 +1 位作者 张晔 胡艳红 《国际眼科杂志》 CAS 北大核心 2020年第12期2023-2027,共5页
目的:探讨角膜塑形(OK)镜片的偏心度对眼轴和视力质量的影响。方法:根据OK镜片偏心程度,将患者分为三组:低偏心度组(偏心度≤0.5 mm),中偏心度组(0.5<偏心度≤1.0 mm)和高偏心度组(1<偏心度≤1.5 mm)。分析配戴OK镜后OK镜偏心程... 目的:探讨角膜塑形(OK)镜片的偏心度对眼轴和视力质量的影响。方法:根据OK镜片偏心程度,将患者分为三组:低偏心度组(偏心度≤0.5 mm),中偏心度组(0.5<偏心度≤1.0 mm)和高偏心度组(1<偏心度≤1.5 mm)。分析配戴OK镜后OK镜偏心程度、球面等效球镜度(SE)、未矫正视力(UCVA)、配戴OK镜前后眼轴长度(AL)、3 mm瞳孔下的总高阶像差(HOA)、彗差和球面像差(SA)。三组间各指标差异使用Kruskal-WallisH Rank分析。结果:回顾性分析75例139眼。在低偏心组(53眼)中,平均年龄为(11.4±2.4)a,SE为(-3.24±1.48)D,AL为(24.85±1.01)mm;中偏心组(53眼),平均年龄(11.4±2.2)a,SE为(-3.22±1.29)D,AL为(25.15±0.92)mm;在高偏心组(31眼)中,平均年龄为(11.5±1.9)a,SE为(-3.54±1.43)D,AL为(24.95±0.84)mm。2a后,三组间眼轴的变化无显着性差异(P=0.089)。高偏心组HOA、SA、彗差明显高于中偏心组、低偏心组(P<0.05)。结论:OK镜配戴过程中没有必要严格要求镜片位置的绝对居中。镜片不必要的调整可能会延迟眼轴控制。另外,眼轴控制与视觉质量之间的平衡关系应进一步探讨评估。 展开更多
关键词 角膜塑形镜 镜片偏心 眼轴 高阶像差 球差 彗差
在线阅读 下载PDF
跨上皮快速交联术联合术后配戴RGPCL治疗圆锥角膜的疗效 被引量:4
4
作者 叶照达 胡艳红 陈子扬 《国际眼科杂志》 CAS 北大核心 2021年第7期1257-1260,共4页
目的:探讨跨上皮快速交联术联合术后配戴硬性透气性角膜接触镜(RGPCL)治疗圆锥角膜患者的临床效果。方法:回顾性研究。选取2014-10/2015-10在福建中医药大学附属第二人民医院确诊为进展性圆锥角膜并进行跨上皮快速角膜交联术联合术后配... 目的:探讨跨上皮快速交联术联合术后配戴硬性透气性角膜接触镜(RGPCL)治疗圆锥角膜患者的临床效果。方法:回顾性研究。选取2014-10/2015-10在福建中医药大学附属第二人民医院确诊为进展性圆锥角膜并进行跨上皮快速角膜交联术联合术后配戴RGPCL的患者16例25眼,平均年龄25.31±5.92岁,术前最大角膜曲率为58.96±6.76D,角膜最薄点厚度为439.52±53.24μm。使用核黄素及45mW/cm^(2)紫外光照射进行跨上皮快速交联,总能量7.2J/cm^(2),术后配戴RGPCL。术后随访3~6a,平均52.44±11.39mo,观察患者治疗前后BCVA(配戴RGPCL)、平坦子午线角膜曲率(K1)、陡峭子午线角膜曲率(K2)、最大角膜曲率(Kmax)、角膜屈光力(MPP)、角膜前后表面膨隆状态评价参数包括BCVf、BCVb、前表面曲率不对称指数(SIf)、后表面曲率不对称指数(SIb)、圆锥角膜前表面最高点(KVf)、圆锥角膜后表面最高点(KVb)、角膜最薄处厚度(ThkMin)、晶状体混浊、角膜内皮细胞计数。结果:所有患者手术过程顺利,无术中并发症,术后1d均有轻微刺痛伴异物感,轻微畏光流泪;2例2眼患者术后1d摘绷带镜后角膜上皮小片脱失,重新戴绷带镜3d后上皮愈合;随访期间所有患者均未出现晶状体混浊,角膜内皮细胞计数较术前无差异(P>0.05);术后BCVA(配戴RGPCL)较术前BCVA明显改善,术后Kmax、SIf、KVf、BCVf、BCVb均较术前降低(P<0.05)。结论:跨上皮快速角膜交联术联合RGPCL治疗圆锥角膜能有效且安全控制圆锥角膜进展,长期效果稳定。 展开更多
关键词 圆锥角膜 角膜交联术 硬性透气性角膜接触镜 核黄素 紫外光
暂未订购
Analysis of the action mechanism of Si-Jun-Zi decoction in cataract by network pharmacology
5
作者 Zi-Yang Chen zhao-da ye +1 位作者 Li-Jin You Yan-Hong Hu 《Medical Data Mining》 2020年第4期177-184,共8页
Background:To explore the action mechanism of the classic ancient prescription Si-Jun-Zi decoction in slowing down cataract process by network pharmacology.Methods:In Traditional Chinese Medicines for Systems Pharmaco... Background:To explore the action mechanism of the classic ancient prescription Si-Jun-Zi decoction in slowing down cataract process by network pharmacology.Methods:In Traditional Chinese Medicines for Systems Pharmacology Database and Analysis Platform Database,screening the chemical components and functional targets of the classic ancient prescription Si-Jun-Zi decoction,and the targets of cataract disease were obtainded through GeneCards and the Online Mendelian Inheritance in Man Database.In the STRING database,the protein-protein interaction network was built.And network visualization were created in Cytoscape.The genetic ontology and Kyoto Gene and Genome Encyclopedia pathways of key proteins were enriched via the DAVID data platform.Results:Ninety-six active components and 33 key targets were obtained in this work.The protein-protein interaction network consisted of 33 proteins.There were 33 genetic ontology entries and 72 Kyoto Gene and Genome Encyclopedia pathway enrichment analysis.Conclusion:This work provided a new means to understand the pathogenesis of cataract and revealed the action mechanisms of the classic ancient prescription Si-Jun-Zi decoction. 展开更多
关键词 Network pharmacology CATARACT Si-Jun-Zi decoction Action target Genetic ontoloy
在线阅读 下载PDF
Protective effect of Liangxue Huayu decoction on human retinal pigment epithelial cell(ARPE-19)injury induced by hypoxia through autophagy pathway
6
作者 Han-Ran Zheng Yi-Tong Lin +4 位作者 Sheng Chen Zi-Yang Chen Jun-Chang Cao zhao-da ye Yan-Hong Hu 《Pharmacology Discovery》 2024年第1期44-50,共7页
Background:Exploring the protective mechanism of the Liangxue Huayu(LXHY)decoction on human retinal pigment epithelial(RPE)cells induced by hypoxia through the autophagy pathway.Methods:The appropriate LXHY decoction ... Background:Exploring the protective mechanism of the Liangxue Huayu(LXHY)decoction on human retinal pigment epithelial(RPE)cells induced by hypoxia through the autophagy pathway.Methods:The appropriate LXHY decoction concentration was determined by CCK-8.ARPE-19 cells were divided into the normal control group(A group),CoCl_(2)group(B group),3-Methyladenine(3-MA)group(treated with 3-MA(the inhibition of autophagy pathway))(C group),blank serum(BS)group(D group),LXHY drug-contained serum(DCS)group(E group),and Rapamycin(RAP)group[treated with LXHY drug-contained serum combined with rapamycin group(the activation of autophagy pathway)](F group).Counting the number of autophagosomes and autolysosomes in each group of cells under transmission electron microscopy.After infection of cells in each group by mRFP-GFP-LC3 fusion protein adenovirus,the strength of autophagic flux was detected.The mRNA expression levels of LC3 and Beclin-1 were detected by Q-PCR.Results:CCK-8 assay results showed that LXHY DCS could inhibit the cell proliferation of ARPE-19 under hypoxia(all P<0.05).As the transmission electron microscopy assay result showed,compared with the normal control group,the number of autolysosomes was significantly increased in the CoCl_(2)group(P<0.05).Compared with CoCl_(2)group,the number of autolysosomes was significantly reduced the 3-Methyladenine group,blank serum group and LXHY drug-contained serum group(all P<0.001).As autophagic flux assay result showed,compared with the normal control group,the level of autophagosomes and autolysosomes were significantly risen in CoCl_(2)group(all P<0.001).Compared with the CoCl_(2)group,the level of autophagosomes and autolysosomes were significantly fell down in 3-Methyladenine group,blank serum group and LXHY drug-contained serum group(all P<0.05).The level of autolysosomes in the LXHY drug-contained serum group was lower than in the blank serum group(P<0.05).Compared with the LXHY drug-contained serum group,the levels of autophagosomes and autolysosomes were significantly risen in the LXHY drug-contained serum combined with the rapamycin group(all P<0.05).As the Q-PCR result showed,compared with the normal control group,the expression of LC3 and Beclin-1 mRNA were significantly reduced in the CoCl_(2)group(all P<0.001).Compared with the CoCl_(2)group,the expression of LC3 mRNA were significantly increased in the 3-Methyladenine group,blank serum group and LXHY drug-contained serum group(all P<0.001).Beclin-1 mRNA expression was increased significantly(all P<0.001)in the blank serum group and the LXHY drug-contained serum group.And Beclin-1 mRNA expression in the LXHY drug-contained serum group was statistically significant increased than blank serum group(P<0.001).In the LXHY drug-contained serum combined with the rapamycin group,the LC3 and Beclin-1 mRNA expression was reduced significantly compared with the LXHY drug-contained serum group(all P<0.001).Conclusion:The LXHY DCS has the ability to protect the human retinal pigment epithelial cell(ARPE-19)damage under hypoxia through the autophagy pathway. 展开更多
关键词 Liangxue Huayu decoction age-related macular degeneration AUTOPHAGY LYSOSOME AUTOPHAGOSOMES
暂未订购
上一页 1 下一页 到第
使用帮助 返回顶部