本文選題：視神經(jīng)炎 + 人格特征��； 參考：《廣州中醫(yī)藥大學(xué)》2006年碩士論文

【摘要】：視神經(jīng)炎(optic neuritis)指能夠阻礙視神經(jīng)傳導(dǎo)功能,引起視功能一系列改變的視神經(jīng)病變,如炎癥、退變及脫髓鞘疾病等。祖國醫(yī)學(xué)則根據(jù)其視力下降急緩程度歸為“暴盲”或“視瞻昏渺”范疇。 視神經(jīng)炎是臨床常見的眼科疾病,治療難度大,易致視神經(jīng)萎縮而損害視功能。其病因十分復(fù)雜,迄今為止,發(fā)病機(jī)制尚不十分清楚,治療上存在療效不確切、易復(fù)發(fā)等缺點(diǎn)。目前研究認(rèn)為,該病發(fā)病與情致有關(guān)。隨著社會的發(fā)展,生活節(jié)奏的加快,壓力的加大,視神經(jīng)炎中心身性疾病有趨多之勢。因此除對原發(fā)病進(jìn)行治療外,同時需對病人進(jìn)行積極的心理干預(yù),以促進(jìn)疾病的康復(fù)。 本研究在綜述眼科心身醫(yī)學(xué)文獻(xiàn)、視神經(jīng)炎中西醫(yī)文獻(xiàn),了解國內(nèi)外視神經(jīng)炎研究現(xiàn)狀的基礎(chǔ)上,觀察了視神經(jīng)炎的臨床表現(xiàn),量測了視神經(jīng)炎患者的人格特征、行為類型,初步探討了視神經(jīng)炎患者的人格特征、行為類型的特點(diǎn)及其與中醫(yī)證型的關(guān)系。 文獻(xiàn)研究 參考國內(nèi)外文獻(xiàn),綜述了中醫(yī)學(xué)對心身醫(yī)學(xué)的認(rèn)識,及中醫(yī)學(xué)、心身醫(yī)學(xué)、現(xiàn)代醫(yī)學(xué)對視神經(jīng)炎的研究現(xiàn)狀。中醫(yī)學(xué)認(rèn)為本病的發(fā)生與七情、飲食、勞倦、熱病、撞擊傷目等有關(guān),治療上按辨證治療規(guī)則,或分期論治,或分型論治,或者驗(yàn)方加減論治,但目前證候分型尚未統(tǒng)一,多以全身辨證作為辨證的依據(jù)�，F(xiàn)代醫(yī)學(xué)對本病病因病機(jī)認(rèn)識尚不十分清楚,治療上存在療效不確切易復(fù)發(fā)的缺點(diǎn),疾病的過程中與心身因素存在較大的聯(lián)系。為探討視神經(jīng)炎患者的人格特征、行為類型及其與中醫(yī)證型之間的聯(lián)系,設(shè)計了本研究。 臨床研究 目的:探討視神經(jīng)炎患者的人格特征、行為類型及其中醫(yī)證型的特點(diǎn),探討其人格特征、行為類型與中醫(yī)證型的關(guān)系,為視神經(jīng)炎的臨床防治提供依據(jù)。 方法:本研究采用組間對照、相互對照方法,對納入本研究的89例視神經(jīng)炎患者,按照視神經(jīng)炎臨床觀察調(diào)查表登記患者的證候信息,測驗(yàn)視神經(jīng)炎患者的人格特征和行為類型,結(jié)合視神經(jīng)炎的證型,對比健康對照組30例,進(jìn)行臨床研究分析。 結(jié)果: 1、視神經(jīng)炎證型中以肝經(jīng)火盛、肝郁氣滯兩型為主,肝經(jīng)火盛、肝郁氣滯兩證型累計占65.2%。性別構(gòu)成中女性稍多于男性,男女比例約為1/1.34,男性占42.7%,女性占57.30%。在文化程度分布上,以初中高中文化為主,初高中文化段累計占62.9%。 2、視神經(jīng)炎各證型在臨床癥狀得分上存在顯著性差異(P0.05),肝經(jīng)火盛、肝郁氣滯兩型得分較陰虛火旺型、氣血兩虛型兩型均要高,但是肝經(jīng)火盛型與肝郁氣滯
[Abstract]:Optic neuritis refers to the optic neuropathy which can block the optic nerve conduction function and cause a series of changes in the visual function such as inflammation degeneration demyelinating diseases and so on. According to their vision decline, Chinese medicine classified it as "violent blindness" or "vision faintness." Optic neuritis is a common ophthalmic disease in clinic. It is difficult to treat, and it is easy to cause optic atrophy and impair visual function. Its etiology is very complex, so far, the pathogenesis is not very clear, there are some shortcomings in treatment, such as imprecise curative effect, easy recurrence and so on. Current research thinks that the disease is related to emotion. With the development of society, the acceleration of life rhythm and the increase of stress, the central body disease of optic neuritis tends to increase. Therefore, in addition to the treatment of the primary disease, active psychological intervention should be carried out to promote the recovery of the disease. On the basis of summarizing the literature of ophthalmology psychosomatic medicine, traditional Chinese and western medicine of optic neuritis, and understanding the present research situation of optic neuritis at home and abroad, the clinical manifestations of optic neuritis were observed, and the personality characteristics and behavior types of optic neuritis patients were measured. The characteristics of personality, behavior types and syndromes of traditional Chinese medicine (TCM) in patients with optic neuritis were preliminarily discussed. Literature research Referring to the literature at home and abroad, this paper summarizes the understanding of psychosomatic medicine in traditional Chinese medicine, and the research status of optic neuritis in traditional Chinese medicine, psychosomatic medicine and modern medicine. Traditional Chinese medicine believes that the occurrence of this disease is related to seven emotions, diet, fatigue, fever, impingement of the eye, etc. It is treated according to the rules of differentiation of symptoms and signs, or treated by stages, or by type, or by adding or subtracting the prescription, but at present the syndrome classification has not yet been unified. More systemic syndrome differentiation as the basis of syndrome differentiation. The etiology and pathogenesis of the disease are not well understood in modern medicine, and there are some shortcomings in the treatment of the disease, such as the inexact curative effect and recurrence, and there is a great relationship between the disease process and psychosomatic factors. This study was designed to explore the personality characteristics, behavioral types and the relationship between the patients with optic neuritis and TCM syndromes. Clinical research Objective: to explore the personality characteristics, behavior types and TCM syndromes of patients with optic neuritis, and to explore the relationship between their personality characteristics, behavior types and TCM syndromes, so as to provide the basis for the clinical prevention and treatment of optic neuritis. Methods: in this study, 89 patients with optic neuritis were enrolled in this study, and their syndromes were registered according to the questionnaire of clinical observation of optic neuritis. The personality characteristics and behavior types of optic neuritis patients were tested and compared with 30 healthy control group. Results: 1. The main types of optic neuritis were liver meridian fire, liver stagnation and qi stagnation, liver meridian fire and liver stagnation qi stagnation accounted for 65.2%. The ratio of male to female is about 1 / 1. 34, male to female is 42.7% and female is 57.30%. In the distribution of education level, junior high school culture is the main part, the middle and high school culture section accounts for 62.9%. 2. There were significant differences in the clinical symptom scores of each syndrome type of optic neuritis (P 0.05). The scores of two types of liver meridian fire, liver stagnation and qi stagnation were higher than those of yin deficiency fire type and qi and blood deficiency type, but liver meridian fire type and liver stagnation qi stagnation type were higher than those of Yin deficiency fire type and qi deficiency type.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2006
【分類號】：R395;R276.7

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