内障眼病与中医体质类型关系的初步探讨

发布时间：2018-04-17 02:09

本文选题：内障眼病 + 高风内障　；参考：《南京中医药大学》2017年硕士论文

【摘要】：目的:通过分析内障眼病,包括高风内障、视瞻有色及络瘀暴盲患者中医体质类型分布情况,观察其中医体质类型分布规律,初步探讨内障眼病与中医体质的内在联系,为临床病因病机分析及防治提供科学的思路与依据。方法:选择2016年03月至2017年3月间于江苏省中医院眼科确诊高风内障、视瞻有色及络瘀暴盲患者132例作为受试对象,指导其自主填写中医体质调查表中基本信息及相关问题,按《中华中医药学会标准—中医体质分类与判定标准》中相关标准进行体质类型判定,初步分析内障眼病与中医体质类型相关性。结果:1.高风内障患者性别与年龄间没有明显差异,视瞻有色患者集中在中青年男性,且男性发病时间略早于女性,络瘀暴盲患者发病人数随年龄呈递增趋势;2.对比正常人群,内障眼病患者的体质类型存在明显的偏颇倾向。高风内障病例除外未收集到痰湿质与特禀质,各体质比例由高到低依次为:阳虚质47.5%、气虚质20%、气郁质15%、平和质7.5%、血瘀质5%、阴虚质和湿热质均为2.5%。总体虚性体质共28例,占70%,显著多于实性体质者;视瞻有色病例除外未收集到特禀质,各体质比例由高到低依次为:痰湿质26.09%、气郁质21.74%、阳虚质15.22%、气虚质13.04%、湿热质10.87%、阴虚质6.52%、平和质4.35%、血瘀质2.17%。总体实性体质略多于虚性体质,分别为60.9%及34.8%;络瘀暴盲患者各体质比例由高到低依次为:血瘀质19.57%、痰湿质17.39%、气郁质15.22%、阳虚质15.22%、气虚质13.04%、平和质6.52%、阴虚质6.52%、湿热质4.35%、特禀质2.17%。总体病理体质实性略多于虚性者,分别为56.5%和34.8%。3.内障眼病患者中男性偏颇体质以阳虚质、气虚质及痰湿质为多,分别为15例、14例、14例,女性偏颇体质以阳虚质和气郁质为主,分别为18例和15例。各年龄段患者体质病理体质明显高于正常人群,均以阳虚质多见,青年患者痰湿质和气郁质者也较为多见。结论:内障眼病患者具有一定的体质偏颇倾向,总体以气虚质和阳虚证为主。高风内障患者存在明显的体质偏颇,主要为阳虚质;视瞻有色患者中偏颇体质以痰湿质和气郁质多见;络瘀暴盲患者的偏颇体质主要为血瘀质。偏颇体质的分布在性别和年龄上均有所差别,男性以阳虚质、气虚质及痰湿质为多,女性以阳虚质和气郁质为主,对比中老年患者,青年患者除阳虚质分布较多,痰湿质和气郁质也多见。
[Abstract]:Objective: to analyze the distribution of TCM physique types in patients with cataract eye disease, including high wind cataract, visual coloration and collateral stasis storm, observe the distribution law of TCM constitution type, and preliminarily explore the internal relationship between cataract ophthalmopathy and TCM constitution.To provide scientific ideas and basis for clinical etiology and pathogenesis analysis, prevention and treatment.Methods: from March 2016 to March 2017, 132 patients with high wind cataract diagnosed in Jiangsu Provincial traditional Chinese Medicine Hospital were selected as subjects to guide them to fill out the basic information and related questions of TCM constitution questionnaire.According to the standard of the Chinese Academy of traditional Chinese Medicine (TCM), the correlation between cataract ophthalmopathy and TCM physique type was preliminarily analyzed.The result is 1: 1.There was no significant difference between sex and age in patients with high wind cataract, and the incidence time of males was earlier than that of females. The incidence of collateral stasis blindness patients showed an increasing trend with age.Compared with the normal population, the physical types of the patients with eye-impaired diseases have obvious biased tendency.Except for the cases of high wind cataract, phlegm and dampness were not collected, and the proportion of body mass from high to low was: Yang deficiency 47.5, Qi deficiency 20, Qi stagnation 15, peace 7.5, blood stasis 5, yin deficiency and dampness heat 2.5.There were 28 cases of deficiency constitution, accounting for 70 cases, which was significantly more than that of solid constitution.The order of constitution ratio from high to low is as follows: phlegm and dampness 26.09, Qi stagnation 21.74, Yang vacuity 15.2222, Qi deficiency 13.04m, dampness and heat 10.87cm, yin deficiency 6.52, calmness 4.35, blood stasis 2.17.The proportion of body mass of the patients with collateral stasis was: blood stasis 19.57, phlegm and dampness 17.39, Qi 15.22, Yang deficiency 15.22, Qi deficiency 13.04, peaceful 6.522, Yin deficiency 6.522, dampness 4.35, hygrothermal 4.35, and intrinsic 2.17B.The total physical fitness was slightly more than that of vacuity, which was 60.9% and 34.80.The proportion of physical constitution of patients with collateral stasis was 60.9% and 34.80.The proportion of physical constitution of patients with collateral stasis was 19.57%, 17.39%, 15.22%, 15.22%, 6.522%, 6.522%, 4.35%, 2.17%, respectively.The total pathological physique was slightly more solid than that of vacuity, which was 56.5% and 34.8.3.In the patients with eye diseases with internal obstruction, the majority of male physical bias were yang deficiency, qi deficiency and phlegm dampness, which were 14 cases of 15 cases and 14 cases of phlegm dampness, respectively, while 18 cases and 15 cases of female bias were yang deficiency and qi stagnation, respectively.The pathological physique of the patients of all ages was obviously higher than that of the normal people, and most of them were yang deficiency, and the phlegm and dampness and qi stagnation were also more common in young patients.Conclusion: there is a tendency of physical bias in the patients with eye disease with internal obstruction, which is mainly characterized by deficiency of qi and deficiency of yang.The patients with high wind cataract have obvious physical bias, mainly Yang deficiency; in the patients with visual color, phlegm and dampness and qi stagnation are the main physical bias; collateral stasis violence blind patients' biased physique is mainly blood stasis.The distribution of partial constitution is different in sex and age. The male is more of Yang deficiency, Qi deficiency and phlegm and dampness, and the female is Yang deficiency and Qi stagnation. Compared with the middle-aged and elderly patients, the young patients are more in the distribution of eliminating Yang deficiency.Phlegm dampness and qi stagnation are also common.
【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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