葡萄膜炎复发率与中医辨证分型关系的研究

发布时间：2018-03-08 02:02

本文选题：复发率　切入点：葡萄膜炎　出处：《长春中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:研究葡萄膜炎复发的相关因素,探索其与中医辨证分型之间的关系,为指导临床中西医结合治疗葡萄膜炎提供新思路,新方法。方法:回顾性临床研究:通过收集2011.1一2016.1至吉林省长春中医药大学附属医院眼科就诊、根据中、西医诊断标准确诊为葡萄膜炎的所有门诊及住院患者病例,整理其临床证型,并通过电话回访,医院再次就诊等方式记录患者复发情况,对其进行统计学分析,通过数据分析葡萄膜炎复发率与中医辨证分型之间的相关性。结果:(1)绝大多数葡萄膜炎疾病患者容易复发;282例葡萄膜炎患者中,复发至少1次(包括1次)以上者172例,占总数的61%;(2)在四个证型中,风湿夹热证型复发率最高;统计分析显示:各辨证分型的葡萄膜炎复发率依次为:风湿夹热证82.9%,肝经风热证56.9%,阴虚火旺证54.4%,肝胆火炽证44.8%。在282例患者中,风湿夹热证复发68人,占24.1%,肝经风热证者复发37人,占13.1%,肝胆火炽证者复发30人,占10.6%,阴虚火旺证者复发37人,占13.1%,说明风湿夹热型葡萄膜炎复发率明显高于其他3种证型(P0.05)。(3)风湿夹热型葡萄膜患者个体在复发次数上明显高于其他三组;在每组证型两两比较之间发现,风湿夹热型患者的复发次数明显高于其他三组(P0.05)。结论:风湿夹热证型患者的复发率和复发次数明显高于其他三种证型。
[Abstract]:Objective: to study the factors related to the recurrence of uveitis, to explore the relationship between the recurrence of uveitis and TCM syndrome differentiation, and to provide a new way to guide the clinical treatment of uveitis with integrated traditional Chinese and western medicine. Methods: retrospective clinical study: from 2011-2016.1 to Changchun University of traditional Chinese Medicine affiliated Hospital of Jilin Province, all the outpatients and inpatients with uveitis were diagnosed according to the diagnostic criteria of traditional Chinese and Western medicine. Sort out their clinical syndrome types, and record the recurrence of patients by telephone return visit, hospital re-visit, etc., and carry on statistical analysis on them. The correlation between the recurrence rate of uveitis and the differentiation and classification of TCM syndromes was analyzed by data. Results: of the 282 patients with uveitis, most of whom were prone to relapse, 172 patients had at least one recurrence (including one recurrence). Among the four syndrome types, the recurrence rate of rheumatism and heat entrapment syndrome was the highest. Statistical analysis showed that the recurrence rate of uveitis according to syndrome differentiation was: rheumatism and heat entrapment syndrome 82.9, liver meridian wind heat syndrome 56.9, Yin deficiency and fire flourishing syndrome 54.4, liver-gallbladder fire incandescent syndrome 44.8. among 282 patients, 68 patients with rheumatism and heat entrapment syndrome recurred. Accounting for 24.1%, 37 patients (13.1g) recurred through the syndrome of wind and heat of liver, 30 patients (10.6%) recurred in the syndrome of liver, gallbladder and fire, 37 cases recurred in the syndrome of yin deficiency and fire, The recurrence rate of rheumatic fever entrapment type uveitis was significantly higher than that of the other three syndrome types (P0.05. 3) the recurrence times of the patients with rheumatic heat entrapment type uveitis were significantly higher than those of the other three groups, and it was found between the two syndromes of each group that the recurrence rate of the patients with rheumatism and heat entrapment type was significantly higher than that of the other three groups. The recurrence times of patients with rheumatic heat entrapment syndrome were significantly higher than those of the other three groups (P0.050.Conclusion: the recurrence rate and recurrence times of the patients with rheumatic heat entrapment syndrome were significantly higher than those of the other three syndrome types.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R276.7

【相似文献】