针刺治疗糖尿病视网膜病变临床研究进展*

作者：游洪菊1，王丽媛2，张 园1，焦宏伟3，智兆慧1，崔 华1，李佼徽1，孙远征1，4

单位：1.黑龙江中医药大学，黑龙江 哈尔滨 150040； 2.黑龙江中医药大学附属第一医院，黑龙江 哈尔滨 150040； 3.黑龙江焦视眼科医院，黑龙江 哈尔滨 150001； 4.黑龙江中医药大学附属第二医院，黑龙江 哈尔滨 150001

引用：引用：游洪菊，王丽媛，张园，焦宏伟，智兆慧，崔华，李佼徽，孙远征.针刺治疗糖尿病视网膜病变临床研究进展[J].中医药导报,2025,31(12):168-173.

DOI：10.13862/j.cn43-1446/r.2025.12.027

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摘要：糖尿病视网膜病变（DR）是由于长期高血糖引发的视网膜微血管损伤，严重者可导致失明。本文总结近十年单一针刺及针刺联合中药、中成药、西药、激光等治疗DR的临床研究，发现针刺疗法可以有效提高DR患者视力，改善眼底出血和渗出，调节眼底微循环，延缓病情进展。结果显示：针刺联合中药是主要的中医疗法；针刺方法以毫针针刺、电针为主；选穴以足三阳经腧穴为主；配穴多采用眼周与全身腧穴结合的方式，其中脏腑背俞穴、原穴等特定穴运用较多。本文通过分析当前研究进展和存在的不足，旨在为针刺治疗DR提供临床方案参考和进一步研究的思路。

关键词：糖尿病视网膜病变；针刺；机制；临床研究；综述

Abstract：

Diabetic retinopathy (DR) is a retinal microvascular complication caused by chronic hyperglycemia, potentially leading to blindness. This review summarizes clinical research from the past decade on acupuncture monotherapy and acupuncture combined with Chinese herbs, proprietary Chinese medicines, Western drugs, laser therapy, etc., for DR. Findings indicate that acupuncture can effectively improve visual acuity, reduce retinal hemorrhage and exudation, regulate retinal microcirculation, and delay DR progression. Acupuncture combined with Chinese herbs is a primary TCM approach. Filiform needle acupuncture and electroacupuncture are common techniques. Acupoint selection primarily involves points of the three foot-yang meridians, combined with periocular and systemic points, frequently utilizing specific points like Back-Shu and Source points. By analyzing current progress and limitations, this review aims to provide clinical references and insights for further acupuncture research in DR.

Key words：diabetic retinopathy; acupuncture; mechanism; clinical research; review

发布时间：2025-12-31

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