本文關(guān)鍵詞：高風(fēng)內(nèi)障、絡(luò)瘀暴盲患者的發(fā)病與焦慮、抑郁的相關(guān)性研究　出處：《南京中醫(yī)藥大學(xué)》2017年碩士論文　論文類(lèi)型：學(xué)位論文

  更多相關(guān)文章： 眼底疾病 視力障礙 情志 視網(wǎng)膜色素變性 視網(wǎng)膜靜脈阻塞 焦慮抑郁

【摘要】：目的:在中醫(yī)基礎(chǔ)理論的指導(dǎo)下,分析高風(fēng)內(nèi)障,絡(luò)瘀暴盲患者的發(fā)病與焦慮、抑郁的相關(guān)性,總結(jié)出情志與發(fā)病的特點(diǎn),以便指導(dǎo)臨床的診療。方法:用SAS、SDS量表對(duì)61例高風(fēng)內(nèi)障患者及104例絡(luò)瘀暴盲患者進(jìn)行調(diào)查。并運(yùn)用SPSS18.0對(duì)統(tǒng)計(jì)數(shù)據(jù)進(jìn)行處理,分析兩病患者的焦慮、抑郁發(fā)病情況及與性別、年齡、視力、病程、辨證分型等的相關(guān)性,比較上述指標(biāo)的差異。結(jié)果:高風(fēng)內(nèi)障患者共61例,其中焦慮17例,抑郁24例,其中焦慮并抑郁13例,無(wú)焦慮抑郁:33例,絡(luò)瘀暴盲患者共104例,其中焦慮46例,抑郁23例,其中焦慮并抑郁18例,無(wú)焦慮抑郁:53例,高風(fēng)內(nèi)障與絡(luò)瘀暴盲患者焦慮發(fā)病率及抑郁的發(fā)病率均有差異P0.05,且兩病焦慮抑郁癥狀比較,SAS標(biāo)準(zhǔn)得分,SDS標(biāo)準(zhǔn)得分均無(wú)差異P0.05。兩病患者性別間無(wú)明顯差異,P0.05,高風(fēng)內(nèi)障患者兩性別間的焦慮、抑郁癥狀,抑郁發(fā)病率均有差異,P0.05,焦慮發(fā)病率無(wú)差異,P0.05,絡(luò)瘀暴盲患者兩性別間的焦慮、抑郁的癥狀及發(fā)病率均無(wú)明顯差異,P0.05,高風(fēng)內(nèi)障患者年齡較絡(luò)瘀暴盲患者年輕,P0.05,高風(fēng)內(nèi)障、絡(luò)瘀暴盲患者的年齡與SAS,SDS標(biāo)準(zhǔn)得分間無(wú)明顯相關(guān)關(guān)系,相關(guān)系數(shù)均為r0.5,且P0.05。兩組病人間文化程度無(wú)明顯差異,P0.05。高風(fēng)內(nèi)障患者病程較絡(luò)瘀暴盲患者長(zhǎng),P0.05,高風(fēng)內(nèi)障患者SAS、SDS標(biāo)準(zhǔn)得分與病程均呈正相關(guān)關(guān)系,P0.05,絡(luò)瘀暴盲患者則無(wú)相關(guān)關(guān)系。高風(fēng)內(nèi)障患者的較好眼、較差眼視力分別與絡(luò)瘀暴盲患者的較好眼、患眼比較,均較絡(luò)瘀暴盲患者更差,P0.05,高風(fēng)內(nèi)障患者SAS、SDS標(biāo)準(zhǔn)得分分別與較好眼較差眼視力進(jìn)行相關(guān)性分析,均無(wú)明顯相關(guān)關(guān)系,r0.5,P0.05,絡(luò)瘀暴盲患者SAS、SDS標(biāo)準(zhǔn)得分與較好眼視力之間無(wú)相關(guān)關(guān)系r0.5,P0.05,SAS標(biāo)準(zhǔn)得分與患眼視力呈負(fù)相關(guān)關(guān)系P0.05,SDS標(biāo)準(zhǔn)得分與患眼視力無(wú)相關(guān)關(guān)系,P0.05。高風(fēng)內(nèi)障患者的不同中醫(yī)證型間SAS標(biāo)準(zhǔn)得分有差異P0.05,SDS標(biāo)準(zhǔn)得分無(wú)差異P0.05,絡(luò)瘀暴盲患者的不同中醫(yī)證型間SAS、SDS標(biāo)準(zhǔn)得分間均有差異P0.05。缺血型與總體絡(luò)瘀暴盲患者的SAS、SDS標(biāo)準(zhǔn)得分均有差異,P0.05。兩病SAS、SDS標(biāo)準(zhǔn)得分均呈正相關(guān)關(guān)系,r0.5且P0.05。結(jié)論:高風(fēng)內(nèi)障患者的抑郁及絡(luò)瘀暴盲患者的焦慮發(fā)病率較高。高風(fēng)內(nèi)障患者女性的焦慮抑郁癥狀較明顯,抑郁的發(fā)病率更高。絡(luò)瘀暴盲患者的發(fā)病年齡較高風(fēng)內(nèi)障患者的發(fā)病年齡高,且發(fā)病年齡與焦慮抑郁程度之間無(wú)明顯相關(guān)關(guān)系。高風(fēng)內(nèi)障、絡(luò)瘀暴盲患者的文化程度無(wú)明顯差異。高風(fēng)內(nèi)障患者焦慮、抑郁的癥狀表現(xiàn)程度,與高風(fēng)內(nèi)障的病程均呈正相關(guān)。高風(fēng)內(nèi)障患者的視力較絡(luò)瘀暴盲患者更差,絡(luò)瘀暴盲患者的焦慮癥狀與患眼視力呈正相關(guān)關(guān)系。高風(fēng)內(nèi)障肝腎陰虛證患者的焦慮癥狀更明顯,絡(luò)瘀暴盲氣滯血瘀證患者焦慮、抑郁癥狀更明顯。缺血型較總體絡(luò)瘀暴盲患者的焦慮,抑郁發(fā)病率更高、癥狀更明顯。高風(fēng)內(nèi)障、絡(luò)瘀暴盲患者其焦慮癥狀與抑郁癥狀均呈正相關(guān)關(guān)系。焦慮抑郁與眼底疾病導(dǎo)致的視力障礙之間存在雙向的影響關(guān)系。
[Abstract]:Objective: under the guidance of the basic theory of Chinese medicine, we analyzed the correlation between the incidence of high wind glaucoma and the anxiety and depression of patients with collaterals and blood stasis and blindness, and summarized the characteristics of emotion and onset, so as to guide clinical diagnosis and treatment. Methods: the SAS and SDS scales were used to investigate 61 patients with cataract and 104 cases of blind blood stasis. SPSS18.0 was applied to analyze the incidence of anxiety and depression in two patients, and the correlation with gender, age, visual acuity, course of disease, syndrome differentiation and so on. Results: cataract patients in 61 cases, including 17 patients with anxiety and depression in 24 cases, of which 13 cases of anxiety and depression, anxiety and depression in 33 cases, no collateral with sudden loss of a total of 104 cases, including 46 patients with anxiety and depression in 23 cases, including 18 cases of anxiety and depression, anxiety and depression in 53 cases: no there was a significant difference in P0.05 incidence, high wind and avoidance of collaterals with sudden loss of incidence of anxiety and depression, anxiety and depressive symptoms in two patients, SAS standard score, SDS standard scores were no difference in P0.05. Two patients showed no significant difference between gender, P0.05, anxiety and depression symptoms of high wind cataract patients between different sexes, the incidence rate of depression significantly, P0.05, incidence of anxiety between P0.05 symptoms and the incidence of collateral with sudden loss of gender between anxiety and depression had no significant difference, P0.05 the age of patients with cataract, high wind and blood stasis with sudden loss of young, P0.05, age and SAS high wind and blood stasis, cataract patients with sudden blindness, there was no obvious correlation between the SDS score, the correlation coefficient was r0.5, and P0.05. There was no significant difference in the degree of culture between the two groups, P0.05. The duration of high wind cataract is longer than that of the patients with collaterals and blood stasis. P0.05, SAS and SDS scores of high wind patients are positively correlated with the duration of disease. P0.05, there is no correlation between blood stasis and blindness. Good eye, high wind cataract patients with poor eyesight and good eyes, and blood stasis in patients with sudden blind eyes, compared with sudden loss of collateral stasis is even worse, P0.05, SAS, SDS in patients with high cataract score respectively by correlation analysis and better eye visual acuity is poor, there were no obvious correlation. R0.5, P0.05, SAS, and blood stasis with sudden loss of SDS standard score and better visual acuity between the relationship of r0.5, P0.05, SAS standard score and the visual acuity was negatively correlated to P0.05, no correlation between SDS score and visual acuity, P0.05. Patients with high wind syndrome had different SAS standard scores. There was no difference between P0.05 and SDS standard scores. P0.05, there were differences in SAS and SDS scores between different TCM Syndromes of patients with collateral stasis and blindness. The scores of SAS and SDS in the patients with blind blood type and overall blood stasis were different, P0.05. The scores of SAS and SDS in two diseases were all positive correlation, r0.5 and P0.05. Conclusion: the incidence of anxiety in the patients with high level of cataract is higher than that of the patients with blindness and blood stasis. The anxiety and depression of women with high incidence of cataract is more obvious, and the incidence of depression is higher. The onset age of the patients with blood stasis and blood stasis is higher than that of the patients with high cataract, and there is no significant correlation between the age of the onset of the disease and the degree of anxiety and depression. There was no significant difference in the cultural degree of the patients with blindness and cataract. The symptoms of anxiety and depression in patients with high cataract were positively correlated with the course of high cataract. The visual acuity of the patients with high incidence of cataract is worse than that of the blind patients with blood stasis and blood stasis, and the anxiety symptoms of the patients with blood stasis and blood stasis are positively related to the eye vision. The symptoms of anxiety and depression of the patients with high wind and kidney yin deficiency syndrome were more obvious, and the symptoms of anxiety and depression were more obvious in the patients with stagnation of blood stasis and blood stasis. The anxiety of the patients with ischemic type than that of the overall blood stasis and blood stasis is higher and the symptoms are more obvious. There was a positive correlation between the anxiety symptoms and depressive symptoms of the patients with blindness in the patients with high cataract and blood stasis. There is a two-way relationship between anxiety and depression and visual impairment caused by fundus disease.
【學(xué)位授予單位】：南京中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類(lèi)號(hào)】：R276.7

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 李奇;王磊;祝賀;吳駿;郝捷;王柳;周琪;;激活素A促進(jìn)人胚胎干細(xì)胞定向分化為視網(wǎng)膜色素上皮細(xì)胞[J];科學(xué)通報(bào);2016年16期

2 徐紅;閔智杰;呂天依;劉文婷;干德康;;針刺治療原發(fā)性視網(wǎng)膜色素變性臨床觀察[J];上海針灸雜志;2016年04期

3 郭繼援;;針刺辨證治療視網(wǎng)膜色素變性18例療效分析[J];當(dāng)代醫(yī)學(xué);2015年23期

4 張延菊;方曉麗;;溫通針?lè)ㄖ委熢l(fā)性視網(wǎng)膜色素變性的臨床觀察[J];中國(guó)中醫(yī)眼科雜志;2015年04期

5 袁蓉;何慶勇;;從“雙心同調(diào)”論治冠心病心絞痛[J];中華中醫(yī)藥雜志;2015年06期

6 袁蓉;王階;劉巍;;冠心病“雙心”異常的診療進(jìn)展及中醫(yī)藥防治探討[J];中國(guó)中藥雜志;2015年03期

7 張汗;王承平;趙夢(mèng)云;鄒可;鄭重;;從中醫(yī)氣機(jī)升降及神志理論認(rèn)識(shí)抑郁癥大腦半球功能側(cè)化關(guān)系[J];四川中醫(yī);2014年03期

8 徐雅;李澎濤;;心與神志關(guān)系的現(xiàn)代研究進(jìn)展[J];世界科學(xué)技術(shù)-中醫(yī)藥現(xiàn)代化;2013年06期

9 張艷玲;張纓;;低視力個(gè)體的心理特征及康復(fù)[J];中華眼視光學(xué)與視覺(jué)科學(xué)雜志;2012年11期

10 林文君;壽武林;陳日紅;張永杰;;祛瘀法聯(lián)合激光治療視網(wǎng)膜分支靜脈阻塞療效觀察[J];浙江中西醫(yī)結(jié)合雜志;2012年09期

，

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