高风内障、络瘀暴盲患者的发病与焦虑、抑郁的相关性研究

发布时间：2017-12-26 21:45

本文关键词：高风内障、络瘀暴盲患者的发病与焦虑、抑郁的相关性研究　出处：《南京中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:在中医基础理论的指导下,分析高风内障,络瘀暴盲患者的发病与焦虑、抑郁的相关性,总结出情志与发病的特点,以便指导临床的诊疗。方法:用SAS、SDS量表对61例高风内障患者及104例络瘀暴盲患者进行调查。并运用SPSS18.0对统计数据进行处理,分析两病患者的焦虑、抑郁发病情况及与性别、年龄、视力、病程、辨证分型等的相关性,比较上述指标的差异。结果:高风内障患者共61例,其中焦虑17例,抑郁24例,其中焦虑并抑郁13例,无焦虑抑郁:33例,络瘀暴盲患者共104例,其中焦虑46例,抑郁23例,其中焦虑并抑郁18例,无焦虑抑郁:53例,高风内障与络瘀暴盲患者焦虑发病率及抑郁的发病率均有差异P0.05,且两病焦虑抑郁症状比较,SAS标准得分,SDS标准得分均无差异P0.05。两病患者性别间无明显差异,P0.05,高风内障患者两性别间的焦虑、抑郁症状,抑郁发病率均有差异,P0.05,焦虑发病率无差异,P0.05,络瘀暴盲患者两性别间的焦虑、抑郁的症状及发病率均无明显差异,P0.05,高风内障患者年龄较络瘀暴盲患者年轻,P0.05,高风内障、络瘀暴盲患者的年龄与SAS,SDS标准得分间无明显相关关系,相关系数均为r0.5,且P0.05。两组病人间文化程度无明显差异,P0.05。高风内障患者病程较络瘀暴盲患者长,P0.05,高风内障患者SAS、SDS标准得分与病程均呈正相关关系,P0.05,络瘀暴盲患者则无相关关系。高风内障患者的较好眼、较差眼视力分别与络瘀暴盲患者的较好眼、患眼比较,均较络瘀暴盲患者更差,P0.05,高风内障患者SAS、SDS标准得分分别与较好眼较差眼视力进行相关性分析,均无明显相关关系,r0.5,P0.05,络瘀暴盲患者SAS、SDS标准得分与较好眼视力之间无相关关系r0.5,P0.05,SAS标准得分与患眼视力呈负相关关系P0.05,SDS标准得分与患眼视力无相关关系,P0.05。高风内障患者的不同中医证型间SAS标准得分有差异P0.05,SDS标准得分无差异P0.05,络瘀暴盲患者的不同中医证型间SAS、SDS标准得分间均有差异P0.05。缺血型与总体络瘀暴盲患者的SAS、SDS标准得分均有差异,P0.05。两病SAS、SDS标准得分均呈正相关关系,r0.5且P0.05。结论:高风内障患者的抑郁及络瘀暴盲患者的焦虑发病率较高。高风内障患者女性的焦虑抑郁症状较明显,抑郁的发病率更高。络瘀暴盲患者的发病年龄较高风内障患者的发病年龄高,且发病年龄与焦虑抑郁程度之间无明显相关关系。高风内障、络瘀暴盲患者的文化程度无明显差异。高风内障患者焦虑、抑郁的症状表现程度,与高风内障的病程均呈正相关。高风内障患者的视力较络瘀暴盲患者更差,络瘀暴盲患者的焦虑症状与患眼视力呈正相关关系。高风内障肝肾阴虚证患者的焦虑症状更明显,络瘀暴盲气滞血瘀证患者焦虑、抑郁症状更明显。缺血型较总体络瘀暴盲患者的焦虑,抑郁发病率更高、症状更明显。高风内障、络瘀暴盲患者其焦虑症状与抑郁症状均呈正相关关系。焦虑抑郁与眼底疾病导致的视力障碍之间存在双向的影响关系。
[Abstract]:Objective: under the guidance of the basic theory of Chinese medicine, we analyzed the correlation between the incidence of high wind glaucoma and the anxiety and depression of patients with collaterals and blood stasis and blindness, and summarized the characteristics of emotion and onset, so as to guide clinical diagnosis and treatment. Methods: the SAS and SDS scales were used to investigate 61 patients with cataract and 104 cases of blind blood stasis. SPSS18.0 was applied to analyze the incidence of anxiety and depression in two patients, and the correlation with gender, age, visual acuity, course of disease, syndrome differentiation and so on. Results: cataract patients in 61 cases, including 17 patients with anxiety and depression in 24 cases, of which 13 cases of anxiety and depression, anxiety and depression in 33 cases, no collateral with sudden loss of a total of 104 cases, including 46 patients with anxiety and depression in 23 cases, including 18 cases of anxiety and depression, anxiety and depression in 53 cases: no there was a significant difference in P0.05 incidence, high wind and avoidance of collaterals with sudden loss of incidence of anxiety and depression, anxiety and depressive symptoms in two patients, SAS standard score, SDS standard scores were no difference in P0.05. Two patients showed no significant difference between gender, P0.05, anxiety and depression symptoms of high wind cataract patients between different sexes, the incidence rate of depression significantly, P0.05, incidence of anxiety between P0.05 symptoms and the incidence of collateral with sudden loss of gender between anxiety and depression had no significant difference, P0.05 the age of patients with cataract, high wind and blood stasis with sudden loss of young, P0.05, age and SAS high wind and blood stasis, cataract patients with sudden blindness, there was no obvious correlation between the SDS score, the correlation coefficient was r0.5, and P0.05. There was no significant difference in the degree of culture between the two groups, P0.05. The duration of high wind cataract is longer than that of the patients with collaterals and blood stasis. P0.05, SAS and SDS scores of high wind patients are positively correlated with the duration of disease. P0.05, there is no correlation between blood stasis and blindness. Good eye, high wind cataract patients with poor eyesight and good eyes, and blood stasis in patients with sudden blind eyes, compared with sudden loss of collateral stasis is even worse, P0.05, SAS, SDS in patients with high cataract score respectively by correlation analysis and better eye visual acuity is poor, there were no obvious correlation. R0.5, P0.05, SAS, and blood stasis with sudden loss of SDS standard score and better visual acuity between the relationship of r0.5, P0.05, SAS standard score and the visual acuity was negatively correlated to P0.05, no correlation between SDS score and visual acuity, P0.05. Patients with high wind syndrome had different SAS standard scores. There was no difference between P0.05 and SDS standard scores. P0.05, there were differences in SAS and SDS scores between different TCM Syndromes of patients with collateral stasis and blindness. The scores of SAS and SDS in the patients with blind blood type and overall blood stasis were different, P0.05. The scores of SAS and SDS in two diseases were all positive correlation, r0.5 and P0.05. Conclusion: the incidence of anxiety in the patients with high level of cataract is higher than that of the patients with blindness and blood stasis. The anxiety and depression of women with high incidence of cataract is more obvious, and the incidence of depression is higher. The onset age of the patients with blood stasis and blood stasis is higher than that of the patients with high cataract, and there is no significant correlation between the age of the onset of the disease and the degree of anxiety and depression. There was no significant difference in the cultural degree of the patients with blindness and cataract. The symptoms of anxiety and depression in patients with high cataract were positively correlated with the course of high cataract. The visual acuity of the patients with high incidence of cataract is worse than that of the blind patients with blood stasis and blood stasis, and the anxiety symptoms of the patients with blood stasis and blood stasis are positively related to the eye vision. The symptoms of anxiety and depression of the patients with high wind and kidney yin deficiency syndrome were more obvious, and the symptoms of anxiety and depression were more obvious in the patients with stagnation of blood stasis and blood stasis. The anxiety of the patients with ischemic type than that of the overall blood stasis and blood stasis is higher and the symptoms are more obvious. There was a positive correlation between the anxiety symptoms and depressive symptoms of the patients with blindness in the patients with high cataract and blood stasis. There is a two-way relationship between anxiety and depression and visual impairment caused by fundus disease.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R276.7

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