实用临床医药杂志2025，Vol.29Issue(4)：6-10,5.DOI:10.7619/jcmp.20244475
四物五子汤治疗湿性年龄相关性黄斑变性对血管内皮生长因子、转化生长因子-β1及炎性因子水平的影响
Effect of Siwu Wuzi Decoction on vascular endothelial growth factor,transforming growth factor-β1 and inflammatory factor levels in patients with wet age-related macular degeneration
摘要
Abstract
Objective To investigate the effect of Siwu Wuzi Decoction in the treatment of wet age-related macular degeneration(wAMD)on the levels of vascular endothelial growth factor(VEGF),transforming growth factor-β1(TGF-β1),and inflammatory factors in patients.Methods A total of 216 patients with wAMD were randomly divided into western medicine group(n=108)and integrated Chinese and western medicine group(n=108).The western medicine group received conbercept plus photodynamic therapy(PDT),while the integrated Chinese and western medicine group received con-bercept,PDT,and Siwu Wuzi Decoction.Both groups were treated for 3 months.The traditional Chi-nese medicine syndrome scores,best-corrected visual acuity(BCVA),intraocular pressure,VEGF,TGF-β1,inflammatory factor levels[interleukin(IL)-6,IL-13],quality of life[Chinese Low Vision Quality of Life Scale(CLVQOL)],and clinical efficacy were observed in both groups.Results After treatment,the traditional Chinese medicine syndrome scores decreased in both groups,with the scores in the integrated Chinese and western medicine group being lower than those in the western medicine group(P＜0.05).After treatment,BCVA decreased in both groups,with the BCVA in the integrated Chinese and western medicine group being lower than that in the western medicine group(P＜0.05).After treatment,intraocular pressure increased in both groups,but the intraocu-lar pressure in the integrated Chinese and western medicine group was lower than that in the western medicine group(P＜0.05).After treatment,VEGF and TGF-β1 levels decreased in both groups,with the levels in the integrated Chinese and western medicine group being lower than those in the western medicine group(P＜0.05).After treatment,IL-6 and IL-13 levels decreased in both groups,with the levels in the integrated Chinese and western medicine group being lower than those in the western medicine group(P＜0.05).After treatment,CLVQOL scores increased in both groups,with the scores in the integrated Chinese and western medicine group being higher than those in the western medicine group(P＜0.05).The total effective rate of treatment in the integrat-ed Chinese and western medicine group was 97.22％,which was higher than 85.19％in the west-ern medicine group(P＜0.05).Conclusion Siwu Wuzi Decoction has a good therapeutic effect on wAMD,which can alleviate symptoms,restore vision,reduce intraocular pressure,regulate VEGF,TGF-β1,and inflammatory factor levels,and improve quality of life.关键词
四物五子汤/康柏西普/光动力疗法/湿性年龄相关性黄斑变性/血管内皮生长因子/转化生长因子-β1/炎性因子Key words
Siwu Wuzi Decoction/conbercept/photodynamic therapy/wet age-related mac-ular degeneration/vascular endothelial growth factor/transforming growth factor-β1/inflammatory factors分类
医药卫生引用本文复制引用
马恺悦,张淑,黄世欣,李晓波..四物五子汤治疗湿性年龄相关性黄斑变性对血管内皮生长因子、转化生长因子-β1及炎性因子水平的影响[J].实用临床医药杂志,2025,29(4):6-10,5.基金项目
中国中医科学院眼科医院高水平中医医院课题项目(GSP5-61) （GSP5-61）
