糖尿病视网膜病变分级与其中医证候要素分布规律的探讨

发布时间：2018-03-08 14:51

本文选题：糖尿病视网膜病变　切入点：相关因素　出处：《现代中医临床》2017年02期 　论文类型：期刊论文

【摘要】：目的探讨糖尿病视网膜病变(DR)分级与其中医证候要素的分布规律。方法采取回顾性研究方法,将412例糖尿病患者按照DR国际临床分级标准进行分级,观察患者中医证候要素分布情况,分析中医证候要素与DR分级之间的关系。比较气虚证、燥热证、血瘀证、肝虚证、阴虚证、气郁证、阳虚证、脾气虚证、痰湿证、肾虚证在DR各级之间的分布情况。结果出现较多的前10个中医证候要素为气虚证、燥热证、血瘀证、肝虚证、阴虚证、气郁证、阳虚证、脾气虚证、痰湿证、肾虚证。气虚证、燥热证、血瘀证、气郁证、脾气虚证在DR各级之间分布比较差异均无统计学意义(P0.05);肝虚证、阴虚证、阳虚证、痰湿证、肾虚证在DR各级之间分布比较差异有统计学意义(P0.05)。肝虚证出现频率1级低于2级、3级、4级、5级(P0.005)。阴虚证出现频率1级低于5级(P0.005)。阳虚证出现频率1级低于4级、5级(P0.005),3级低于4级、5级(P0.005)。痰湿证出现频率1级低于4级、5级(P0.005)。肾虚证出现频率1级低于4级、5级(P0.005)。结论 DR患者中气虚证、燥热证、血瘀证、肝虚证、阴虚证出现较多,其中肝虚证在中晚期较重,阴虚证晚期较重,气虚证伴随疾病整个过程;气郁证、阳虚证、脾气虚证、痰湿证、肾虚证出现略少,但阳虚证、痰湿证和肾虚证晚期明显加重。
[Abstract]:Objective to investigate the distribution of DRN and its TCM syndromes in patients with diabetic retinopathy. Methods 412 cases of diabetic patients were classified according to Dr international clinical classification standard by retrospective study. Observe the distribution of TCM syndromes, analyze the relationship between TCM syndromes and Dr classification. Compare qi deficiency syndrome, dryness and heat syndrome, blood stasis syndrome, liver deficiency syndrome, yin deficiency syndrome, qi stagnation syndrome, yang deficiency syndrome, spleen qi deficiency syndrome, phlegm dampness syndrome. Results the first 10 syndromes of TCM were qi deficiency syndrome, dryness and heat syndrome, blood stasis syndrome, liver deficiency syndrome, yin deficiency syndrome, qi stagnation syndrome, yang deficiency syndrome, spleen qi deficiency syndrome, phlegm dampness syndrome, kidney deficiency syndrome, qi deficiency syndrome. There was no significant difference in the distribution of dryness and heat syndrome, blood stasis syndrome, qi stagnation syndrome and qi deficiency syndrome among different levels of Dr; liver deficiency syndrome, yin deficiency syndrome, yang deficiency syndrome, phlegm dampness syndrome, phlegm and dampness syndrome; The difference of the distribution of kidney deficiency syndrome among Dr levels was statistically significant (P 0.05N). The frequency of liver deficiency syndrome was lower than that of grade 2, grade 1 was lower than that of grade 2, grade 3, grade 4, and grade 4, P 0.005, the frequency of yin deficiency syndrome was lower than that of grade 5, grade 1 was lower than that of grade 5, and the frequency of occurrence of Yang deficiency syndrome was lower than that of grade 4, grade 5. The frequency of phlegm dampness syndrome was lower than that of phlegm dampness syndrome. The frequency of kidney deficiency syndrome was lower than that of grade 4 (P 0.005), and the frequency of kidney deficiency syndrome was lower than that of grade 4 and grade 5 (P 0.005). Conclusion the syndrome of Qi deficiency in Dr patients is lower than that in patients with phlegm and dampness syndrome, and the frequency of phlegm dampness syndrome is lower than that of grade 4. There are more syndrome of dryness and heat, blood stasis, liver deficiency and yin deficiency, in which liver deficiency syndrome is more serious in the middle and late stage, yin deficiency syndrome is more serious, qi deficiency syndrome is accompanied by the whole process of disease, qi stagnation syndrome, yang deficiency syndrome, spleen qi deficiency syndrome, phlegm and dampness syndrome, kidney deficiency syndrome appear slightly less, But Yang deficiency syndrome, phlegm dampness syndrome and kidney deficiency syndrome were aggravated in late stage.
【作者单位】：北京中医药大学第一临床医学院眼科;北京市通州区中西医结合医院;
【分类号】：R276.7

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