1.Opinions of professor LI Wen-rui on ten merthods of tocolysis in Synopsis of Golden Chamber
Qiugui LI ; Zhanrong ZHAO ; Fei HUANG
China Journal of Traditional Chinese Medicine and Pharmacy 2005;0(01):-
In this article,the professor LI respectively discuss the using of the ten merthods of tocolysis by eliminating disease in Synopsis of Golden Chamber from aspects of his own practical experience, original text and practical applications. The ten methods are: tonifying and harmonizing both yin and yang and keepping ying and weiqi in balance, eliminating blood stasis and dissolving abdominal mass and regulating qi and blood, warming yang and dispersing cold and warming uterus for tocolysis, moisturizing dryness by nourishing blood and clearing heat and relieving qi stagnation, inducing resuscitation and diuresis, excreting dampness and activating yang, tonifying blood and invigorating the spleen, clearing and dissipating dampness and heat, invigorating the spleen for eliminating dampness, warmming the middle warmer for tocolysis.
2.Changes in ocular surface following minimal vitreoretinal surgery in postmenopausal women patients with proliferative diabetic retinopathy
Shaohui GAO ; Zhanrong LI ; Han PEI ; Shiqing LI ; Zhaoxia ZHAO
Chinese Journal of Ocular Fundus Diseases 2017;33(3):252-256
Objective To evaluate ocular surface changes following minimal vitreoretinal surgery in postmenopausal women patients with proliferative diabetic retinopathy (PDR).Methods Sixty-one women PDR patients (61 eyes) underwent vitreous microsurgery were recruited in this prospective study,including 31 postmenopausal women (PMW group) and 30 non-postmenopausal women (non-PMW group).The contralateral eyes were considered as the control group.Corneal fluorescein (FL) staining,tear break-up time (TBUT),Schirmer I test (SIT),central corneal sensitivity and ocular surface disease index (OSDI) were estimated.All tests were carried out 1 day preoperatively and 1 day,10 days,1 month and 3 months postoperatively.The student's t test or Mann-Whitney U and ANOVA for repeat measurements test were used.Results Preoperatively,TBUT of surgery and non-surgery eyes in PMW were shorter than non-PMW (t=-2.115,-2.035;P<0.05),but higher OSDI scores were found in PMW (t=2.482,2.208;P< 0.05).TBUT reduction rate (Z=-2.771,-1.993;P<0.05) and OSDI rising rate (Z=2.539,2.157;P<0.05) of surgery eyes in PMW were higher than non-PMW 1 day and 10 days postoperatively.The lower SIT of surgery eyes in PMW were observed at 1 day and 10 days (t=-2.403,-2.029;P<0.05) after surgery.At 10 days after surgery,FL and OSDI scores of surgery eyes in non-PMW returned to preoperative level (Z=-0.447,-0.513;P>0.05),but in PMW,the recovery process experienced 1 month (Z=-1.500,-0.853;P>0.05).TBUT and SIT of surgery eyes in two groups both reached preoperative level at 1 month following surgery (Z=-0.715,-1.266,-1.531,-0.522;P> 0.05).Conclnsions PMW with PDR had ocular surface dysfunction,which resulted in aggravated dry eye after minimal vitreoretinal surgery.
3.Clinical effect of minimally invasive vitreoretinal surgery combined with a modified suprachoroidal drainage surgery for retinal detachment associated with choroidal detachment
Shaohui GAO ; Xiaonan LU ; Zhanrong LI ; Han PEI ; Zhaoxia ZHAO ; Xirang GUO ; Yunsui LI
Chinese Journal of Ocular Fundus Diseases 2018;34(2):116-119
Objective To observe the clinical effect of minimally invasive vitreoretinal (MIV) surgery combined with a modified suprachoroidal drainage surgery for retinal detachment associated with choroidal detachment (RRDCD).Methods A prospective clinical study.A total of 27 patients (27eyes) diagnosed as RRDCD were recruited in this study.There were 16 males and 11 females,with an average of (53.67± 14.82) years.The mean intraocular pressure (IOP) was (8.2± 2.1) mmHg (1 mmHg=0.133 kPa) and best corrected visual acuity (BCVA) of minimum resolution angle logarithm (logMAR) was 1.87±0.58.All subjects underwent 23G MIV combined a modified suprachoroidal drainage surgery,which 23G stab knife and 1 ml syringe needle were used for surgery.The visual outcome,IOP,rate of retinal reattachment and complications were comparatively analyzed preoperatively and postoperatively.Results At 1 day,10 days,1 month and 3 months after surgery,the average of logMAR BCVA were 1.62 ± 0.67,1.51 ± 0.63,1.39 ± 0.54,1.32± 0.56 and the mean of IOP were (13.47 ± 5.06),(14.43 ± 4.09),(14.89 ± 4.30),(15.38 ± 3.37) mmHg,respectively.There were significant differences of logMAR BCVA and IOP between before and after surgery (F=6.19,15.21;P<0.05).Retinal reattachments were achieved in 27 eyes (100%) at 1 day and 10 days after surgery.At 1 month and 3 months after surgery,the rate of retinal reattachment were 88.89% (24 eyes) and 85.19% (23 eyes),respectively.No severe complications such as endophthalmitis and choroidal hemorrhage were found at follow-up visits.Conclusion MIV combined with a modified suprachoroidal drainage surgery is an effective and safe treatment for RRDCD,which can promote retina tear closure,improve visual acuity.