视神经炎患者人格特征、行为类型及证型研究

发布时间：2018-05-24 19:34

本文选题：视神经炎 + 人格特征　；参考：《广州中医药大学》2006年硕士论文

【摘要】：视神经炎(optic neuritis)指能够阻碍视神经传导功能,引起视功能一系列改变的视神经病变,如炎症、退变及脱髓鞘疾病等。祖国医学则根据其视力下降急缓程度归为“暴盲”或“视瞻昏渺”范畴。视神经炎是临床常见的眼科疾病,治疗难度大,易致视神经萎缩而损害视功能。其病因十分复杂,迄今为止,发病机制尚不十分清楚,治疗上存在疗效不确切、易复发等缺点。目前研究认为,该病发病与情致有关。随着社会的发展,生活节奏的加快,压力的加大,视神经炎中心身性疾病有趋多之势。因此除对原发病进行治疗外,同时需对病人进行积极的心理干预,以促进疾病的康复。本研究在综述眼科心身医学文献、视神经炎中西医文献,了解国内外视神经炎研究现状的基础上,观察了视神经炎的临床表现,量测了视神经炎患者的人格特征、行为类型,初步探讨了视神经炎患者的人格特征、行为类型的特点及其与中医证型的关系。文献研究参考国内外文献,综述了中医学对心身医学的认识,及中医学、心身医学、现代医学对视神经炎的研究现状。中医学认为本病的发生与七情、饮食、劳倦、热病、撞击伤目等有关,治疗上按辨证治疗规则,或分期论治,或分型论治,或者验方加减论治,但目前证候分型尚未统一,多以全身辨证作为辨证的依据。现代医学对本病病因病机认识尚不十分清楚,治疗上存在疗效不确切易复发的缺点,疾病的过程中与心身因素存在较大的联系。为探讨视神经炎患者的人格特征、行为类型及其与中医证型之间的联系,设计了本研究。临床研究目的:探讨视神经炎患者的人格特征、行为类型及其中医证型的特点,探讨其人格特征、行为类型与中医证型的关系,为视神经炎的临床防治提供依据。方法:本研究采用组间对照、相互对照方法,对纳入本研究的89例视神经炎患者,按照视神经炎临床观察调查表登记患者的证候信息,测验视神经炎患者的人格特征和行为类型,结合视神经炎的证型,对比健康对照组30例,进行临床研究分析。结果: 1、视神经炎证型中以肝经火盛、肝郁气滞两型为主,肝经火盛、肝郁气滞两证型累计占65.2%。性别构成中女性稍多于男性,男女比例约为1/1.34,男性占42.7%,女性占57.30%。在文化程度分布上,以初中高中文化为主,初高中文化段累计占62.9%。 2、视神经炎各证型在临床症状得分上存在显著性差异(P0.05),肝经火盛、肝郁气滞两型得分较阴虚火旺型、气血两虚型两型均要高,但是肝经火盛型与肝郁气滞
[Abstract]:Optic neuritis refers to the optic neuropathy which can block the optic nerve conduction function and cause a series of changes in the visual function such as inflammation degeneration demyelinating diseases and so on. According to their vision decline, Chinese medicine classified it as "violent blindness" or "vision faintness." Optic neuritis is a common ophthalmic disease in clinic. It is difficult to treat, and it is easy to cause optic atrophy and impair visual function. Its etiology is very complex, so far, the pathogenesis is not very clear, there are some shortcomings in treatment, such as imprecise curative effect, easy recurrence and so on. Current research thinks that the disease is related to emotion. With the development of society, the acceleration of life rhythm and the increase of stress, the central body disease of optic neuritis tends to increase. Therefore, in addition to the treatment of the primary disease, active psychological intervention should be carried out to promote the recovery of the disease. On the basis of summarizing the literature of ophthalmology psychosomatic medicine, traditional Chinese and western medicine of optic neuritis, and understanding the present research situation of optic neuritis at home and abroad, the clinical manifestations of optic neuritis were observed, and the personality characteristics and behavior types of optic neuritis patients were measured. The characteristics of personality, behavior types and syndromes of traditional Chinese medicine (TCM) in patients with optic neuritis were preliminarily discussed. Literature research Referring to the literature at home and abroad, this paper summarizes the understanding of psychosomatic medicine in traditional Chinese medicine, and the research status of optic neuritis in traditional Chinese medicine, psychosomatic medicine and modern medicine. Traditional Chinese medicine believes that the occurrence of this disease is related to seven emotions, diet, fatigue, fever, impingement of the eye, etc. It is treated according to the rules of differentiation of symptoms and signs, or treated by stages, or by type, or by adding or subtracting the prescription, but at present the syndrome classification has not yet been unified. More systemic syndrome differentiation as the basis of syndrome differentiation. The etiology and pathogenesis of the disease are not well understood in modern medicine, and there are some shortcomings in the treatment of the disease, such as the inexact curative effect and recurrence, and there is a great relationship between the disease process and psychosomatic factors. This study was designed to explore the personality characteristics, behavioral types and the relationship between the patients with optic neuritis and TCM syndromes. Clinical research Objective: to explore the personality characteristics, behavior types and TCM syndromes of patients with optic neuritis, and to explore the relationship between their personality characteristics, behavior types and TCM syndromes, so as to provide the basis for the clinical prevention and treatment of optic neuritis. Methods: in this study, 89 patients with optic neuritis were enrolled in this study, and their syndromes were registered according to the questionnaire of clinical observation of optic neuritis. The personality characteristics and behavior types of optic neuritis patients were tested and compared with 30 healthy control group. Results: 1. The main types of optic neuritis were liver meridian fire, liver stagnation and qi stagnation, liver meridian fire and liver stagnation qi stagnation accounted for 65.2%. The ratio of male to female is about 1 / 1. 34, male to female is 42.7% and female is 57.30%. In the distribution of education level, junior high school culture is the main part, the middle and high school culture section accounts for 62.9%. 2. There were significant differences in the clinical symptom scores of each syndrome type of optic neuritis (P 0.05). The scores of two types of liver meridian fire, liver stagnation and qi stagnation were higher than those of yin deficiency fire type and qi and blood deficiency type, but liver meridian fire type and liver stagnation qi stagnation type were higher than those of Yin deficiency fire type and qi deficiency type.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2006
【分类号】：R395;R276.7

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