本文關(guān)鍵詞：原發(fā)性青光眼體質(zhì)特征研究　出處：《黑龍江中醫(yī)藥大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 原發(fā)性青光眼 體質(zhì)特征 肝郁證

【摘要】：目的:通過對原發(fā)性青光眼最多見的證候-肝郁證的研究,確立青光眼體質(zhì)及其內(nèi)涵,為預(yù)防青光眼的發(fā)生及青光眼視神經(jīng)保護(hù)的治療提供依據(jù)。方法:回顧近三年的黑龍江中醫(yī)藥大學(xué)附屬第一醫(yī)院眼科原發(fā)性青光眼住院病志65例,收集2016年03月01日至2017年3月01日間在黑龍江中醫(yī)藥大學(xué)附屬第一醫(yī)院眼科就診的原發(fā)性青光眼200例,共265例,進(jìn)行體質(zhì)特征分析。所得結(jié)果使用SPSS17.0軟件進(jìn)行數(shù)據(jù)處理。結(jié)果:(1)265例原發(fā)性青光眼中,原發(fā)性閉角型青光眼占比最大,占81.51%,其次為原發(fā)性開角型青光眼占16.60%,正常眼壓性青光眼最少,占 1.89%。(2)265例原發(fā)性青光眼中,原發(fā)性閉角型青光眼符合肝郁證者占81.0%,不符合者僅占19.0%;原發(fā)性開角型青光眼符合肝郁證者占79.5%,不符合者僅占20.5%;正常眼壓性青光眼符合肝郁證者占60.0%,不符合者僅占40.0%。經(jīng)卡方檢驗P0.05,說明不同類型的原發(fā)性青光眼肝郁證嚴(yán)重程度沒有差異性。(3)265例原發(fā)性青光眼中,原發(fā)性閉角型青光眼(綠風(fēng)內(nèi)障病)肝郁證者共175例,其中兼氣火上逆證占比最大(50.86%),其次是兼風(fēng)火攻目證(24.57%),再次是兼痰火郁結(jié)證(13.14%),最少是無其他兼證(11.43%);原發(fā)性開角型青光眼和正常眼壓性青光眼(青風(fēng)內(nèi)障病)肝郁證者共38例,其中單純肝郁證占比最大(73.69%),其次為兼肝腎虧虛證(18.42%);最少為兼痰濕泛目證(7.89%)。(4)200例原發(fā)性青光眼調(diào)查問卷中,符合肝郁證表現(xiàn)166例,占83%,其中自幼性格急躁易怒的占90.96%,不詳者占9.04%。(5)265例原發(fā)性青光眼中,男性84例,女性181例,男女比例為1:2.15;原發(fā)性閉角型青光眼中,女性患者占71.78%,男性占28.2%;原發(fā)性開角型青光眼中,女性占52.3%,男性占47.7%;正常眼壓性青光眼中,女性占60%,男性占40%;經(jīng)卡方檢驗P0.05,說明不同類型的原發(fā)性青光眼男女性別存在差異性,差異性具有統(tǒng)計學(xué)意義。(6)265例原發(fā)性青光眼中,符合肝郁證的男性占75%;符合肝郁證的女性占82.87%;經(jīng)卡方檢驗P0.05,說明不同性別的原發(fā)性青光眼肝郁證輕重程度存在差異性,差異性具有統(tǒng)計學(xué)意義。(7)265例原發(fā)性青光眼中,不同類型的年齡段占比不同。其中原發(fā)性閉角型青光眼中,老年組占比最大,占57.41%,其次為中年組,占29.17%,最少為青年組,占13.42%;原發(fā)性開角型青光眼中,青年組占比最大,占45.45%,其次為中年組,占31.82%,最少為老年組,占22.73%。經(jīng)卡方檢驗P0.05,說明不同類型的原發(fā)性青光眼年齡存在差異性,差異性具有統(tǒng)計學(xué)意義。(8)265例原發(fā)性青光眼中,青年組符合肝郁證者的占82.69%;中年組符合肝郁證者占78.48%;老年組符合肝郁證者占80.6%;經(jīng)卡方檢驗P0.05,說明不同年齡的原發(fā)性青光眼肝郁證輕重程度不存在差異性。結(jié)論:原發(fā)性青光眼具有一定體質(zhì)特征,主要表現(xiàn)為肝郁證;患原發(fā)性青光眼前既有肝郁體質(zhì),肝郁證與青光眼的形成有密切關(guān)系。
[Abstract]:Objective: Based on the study of syndrome and liver depression in the most common glaucoma, the Constitution and connotation of glaucoma were established, so as to provide evidence for the prevention of glaucoma and the treatment of glaucomatous optic neuropathy. Methods: a review of the First Affiliated Hospital of Heilongjiang University Of Chinese Medicine, nearly three years of primary glaucoma patients of 65 cases collected from 2016 03 to March 2017 01 August 01 day in the ophthalmology clinic of the First Affiliated Hospital of Heilongjiang University Of Chinese Medicine of primary glaucoma in 200 cases, a total of 265 cases of physical characteristics analysis. The results are processed with SPSS17.0 software. Results: (1) in 265 cases of primary glaucoma, the incidence of primary angle closure glaucoma was the largest, accounting for 81.51%, followed by primary open-angle glaucoma accounted for 16.60%, and normal tension glaucoma was the lowest, accounting for 1.89%. (2) 265 cases of primary glaucoma, primary angle closure glaucoma with liver stagnation syndrome accounted for 81%, with only 19%; primary open-angle glaucoma with liver qi stagnation syndrome accounted for 79.5%, with only 20.5%; normal tension glaucoma with liver stagnation syndrome who 60%, do not meet accounted for only 40%. P0.05 showed that there was no difference in the severity of liver depression in different types of primary glaucoma. (3) 265 cases of primary glaucoma, primary angle closure glaucoma (glaucoma disease) liver stagnation syndrome, 175 cases among them and gas on the inverse card accounted for the largest (50.86%), followed by the wind and fire attack head syndrome (24.57%), and again is phlegm fire stagnation syndrome (13.14%), at least no other syndromes (11.43%); primary open-angle glaucoma and normal tension glaucoma (early glaucoma disease) liver stagnation syndrome, 38 cases with liver stagnation syndrome accounted for the largest (73.69%), and followed by liver and kidney deficiency syndrome (18.42%); the least and phlegm dampness. C (7.89%). (4) of the 200 cases of primary glaucoma, 166 cases were conformed to liver depression, accounting for 83%, of which 90.96% were impetuous and irritable and 9.04% were unknown. (5) 265 cases of primary glaucoma, 84 cases were male, 181 were female, male to female ratio was 1:2.15; primary angle closure glaucoma, women accounted for 71.78%, accounted for 28.2% of men; primary open-angle glaucoma, women accounted for 52.3%, accounted for 47.7% of men; in normal pressure glaucoma men, women accounted for 60%, accounting for 40%; chi square test P0.05, illustrate the different types of primary glaucoma sex differences, differences were statistically significant. (6) in 265 cases of primary glaucoma, 75% of the men who met the liver depression syndrome accounted for 75%. 82.87% of the women who met the liver depression syndrome were tested by chi square test. (7) in 265 cases of primary glaucoma, the proportion of different types of age groups was different. The primary angle closure glaucoma in the elderly group accounted for the largest, accounting for 57.41%, followed by the middle age group, accounting for 29.17%, at least for the young group, accounting for 13.42%; primary open-angle glaucoma, youth group accounted for the largest, accounting for 45.45%, followed by the middle age group, accounting for 31.82%, at least for the old in the group, accounting for 22.73%. P0.05 showed that different types of primary glaucoma were different in age, and the difference was statistically significant. (8) in 265 cases of primary glaucoma, 82.69% of the youth group met the liver depression syndrome, while the middle-aged group accounted for 78.48% of the liver depression syndrome, while the elderly group accounted for 80.6% of the liver depression syndrome. The chi square test P0.05 showed that there was no difference in the degree of liver depression between the different age groups. Conclusion: primary glaucoma has certain physical characteristics, mainly manifested as liver depression syndrome. Before primary glaucoma, it has both liver depression constitution and liver depression syndrome, which is closely related to the formation of glaucoma.
【學(xué)位授予單位】：黑龍江中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R276.7

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