原发性青光眼体质特征研究

发布时间：2017-12-28 14:24

本文关键词：原发性青光眼体质特征研究　出处：《黑龙江中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:通过对原发性青光眼最多见的证候-肝郁证的研究,确立青光眼体质及其内涵,为预防青光眼的发生及青光眼视神经保护的治疗提供依据。方法:回顾近三年的黑龙江中医药大学附属第一医院眼科原发性青光眼住院病志65例,收集2016年03月01日至2017年3月01日间在黑龙江中医药大学附属第一医院眼科就诊的原发性青光眼200例,共265例,进行体质特征分析。所得结果使用SPSS17.0软件进行数据处理。结果:(1)265例原发性青光眼中,原发性闭角型青光眼占比最大,占81.51%,其次为原发性开角型青光眼占16.60%,正常眼压性青光眼最少,占 1.89%。(2)265例原发性青光眼中,原发性闭角型青光眼符合肝郁证者占81.0%,不符合者仅占19.0%;原发性开角型青光眼符合肝郁证者占79.5%,不符合者仅占20.5%;正常眼压性青光眼符合肝郁证者占60.0%,不符合者仅占40.0%。经卡方检验P0.05,说明不同类型的原发性青光眼肝郁证严重程度没有差异性。(3)265例原发性青光眼中,原发性闭角型青光眼(绿风内障病)肝郁证者共175例,其中兼气火上逆证占比最大(50.86%),其次是兼风火攻目证(24.57%),再次是兼痰火郁结证(13.14%),最少是无其他兼证(11.43%);原发性开角型青光眼和正常眼压性青光眼(青风内障病)肝郁证者共38例,其中单纯肝郁证占比最大(73.69%),其次为兼肝肾亏虚证(18.42%);最少为兼痰湿泛目证(7.89%)。(4)200例原发性青光眼调查问卷中,符合肝郁证表现166例,占83%,其中自幼性格急躁易怒的占90.96%,不详者占9.04%。(5)265例原发性青光眼中,男性84例,女性181例,男女比例为1:2.15;原发性闭角型青光眼中,女性患者占71.78%,男性占28.2%;原发性开角型青光眼中,女性占52.3%,男性占47.7%;正常眼压性青光眼中,女性占60%,男性占40%;经卡方检验P0.05,说明不同类型的原发性青光眼男女性别存在差异性,差异性具有统计学意义。(6)265例原发性青光眼中,符合肝郁证的男性占75%;符合肝郁证的女性占82.87%;经卡方检验P0.05,说明不同性别的原发性青光眼肝郁证轻重程度存在差异性,差异性具有统计学意义。(7)265例原发性青光眼中,不同类型的年龄段占比不同。其中原发性闭角型青光眼中,老年组占比最大,占57.41%,其次为中年组,占29.17%,最少为青年组,占13.42%;原发性开角型青光眼中,青年组占比最大,占45.45%,其次为中年组,占31.82%,最少为老年组,占22.73%。经卡方检验P0.05,说明不同类型的原发性青光眼年龄存在差异性,差异性具有统计学意义。(8)265例原发性青光眼中,青年组符合肝郁证者的占82.69%;中年组符合肝郁证者占78.48%;老年组符合肝郁证者占80.6%;经卡方检验P0.05,说明不同年龄的原发性青光眼肝郁证轻重程度不存在差异性。结论:原发性青光眼具有一定体质特征,主要表现为肝郁证;患原发性青光眼前既有肝郁体质,肝郁证与青光眼的形成有密切关系。
[Abstract]:Objective: Based on the study of syndrome and liver depression in the most common glaucoma, the Constitution and connotation of glaucoma were established, so as to provide evidence for the prevention of glaucoma and the treatment of glaucomatous optic neuropathy. Methods: a review of the First Affiliated Hospital of Heilongjiang University Of Chinese Medicine, nearly three years of primary glaucoma patients of 65 cases collected from 2016 03 to March 2017 01 August 01 day in the ophthalmology clinic of the First Affiliated Hospital of Heilongjiang University Of Chinese Medicine of primary glaucoma in 200 cases, a total of 265 cases of physical characteristics analysis. The results are processed with SPSS17.0 software. Results: (1) in 265 cases of primary glaucoma, the incidence of primary angle closure glaucoma was the largest, accounting for 81.51%, followed by primary open-angle glaucoma accounted for 16.60%, and normal tension glaucoma was the lowest, accounting for 1.89%. (2) 265 cases of primary glaucoma, primary angle closure glaucoma with liver stagnation syndrome accounted for 81%, with only 19%; primary open-angle glaucoma with liver qi stagnation syndrome accounted for 79.5%, with only 20.5%; normal tension glaucoma with liver stagnation syndrome who 60%, do not meet accounted for only 40%. P0.05 showed that there was no difference in the severity of liver depression in different types of primary glaucoma. (3) 265 cases of primary glaucoma, primary angle closure glaucoma (glaucoma disease) liver stagnation syndrome, 175 cases among them and gas on the inverse card accounted for the largest (50.86%), followed by the wind and fire attack head syndrome (24.57%), and again is phlegm fire stagnation syndrome (13.14%), at least no other syndromes (11.43%); primary open-angle glaucoma and normal tension glaucoma (early glaucoma disease) liver stagnation syndrome, 38 cases with liver stagnation syndrome accounted for the largest (73.69%), and followed by liver and kidney deficiency syndrome (18.42%); the least and phlegm dampness. C (7.89%). (4) of the 200 cases of primary glaucoma, 166 cases were conformed to liver depression, accounting for 83%, of which 90.96% were impetuous and irritable and 9.04% were unknown. (5) 265 cases of primary glaucoma, 84 cases were male, 181 were female, male to female ratio was 1:2.15; primary angle closure glaucoma, women accounted for 71.78%, accounted for 28.2% of men; primary open-angle glaucoma, women accounted for 52.3%, accounted for 47.7% of men; in normal pressure glaucoma men, women accounted for 60%, accounting for 40%; chi square test P0.05, illustrate the different types of primary glaucoma sex differences, differences were statistically significant. (6) in 265 cases of primary glaucoma, 75% of the men who met the liver depression syndrome accounted for 75%. 82.87% of the women who met the liver depression syndrome were tested by chi square test. (7) in 265 cases of primary glaucoma, the proportion of different types of age groups was different. The primary angle closure glaucoma in the elderly group accounted for the largest, accounting for 57.41%, followed by the middle age group, accounting for 29.17%, at least for the young group, accounting for 13.42%; primary open-angle glaucoma, youth group accounted for the largest, accounting for 45.45%, followed by the middle age group, accounting for 31.82%, at least for the old in the group, accounting for 22.73%. P0.05 showed that different types of primary glaucoma were different in age, and the difference was statistically significant. (8) in 265 cases of primary glaucoma, 82.69% of the youth group met the liver depression syndrome, while the middle-aged group accounted for 78.48% of the liver depression syndrome, while the elderly group accounted for 80.6% of the liver depression syndrome. The chi square test P0.05 showed that there was no difference in the degree of liver depression between the different age groups. Conclusion: primary glaucoma has certain physical characteristics, mainly manifested as liver depression syndrome. Before primary glaucoma, it has both liver depression constitution and liver depression syndrome, which is closely related to the formation of glaucoma.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R276.7

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