本文選題：糖尿病視網(wǎng)膜病變　切入點(diǎn)：相關(guān)因素　出處：《現(xiàn)代中醫(yī)臨床》2017年02期 　論文類型：期刊論文

【摘要】：目的探討糖尿病視網(wǎng)膜病變(DR)分級與其中醫(yī)證候要素的分布規(guī)律。方法采取回顧性研究方法,將412例糖尿病患者按照DR國際臨床分級標(biāo)準(zhǔn)進(jìn)行分級,觀察患者中醫(yī)證候要素分布情況,分析中醫(yī)證候要素與DR分級之間的關(guān)系。比較氣虛證、燥熱證、血瘀證、肝虛證、陰虛證、氣郁證、陽虛證、脾氣虛證、痰濕證、腎虛證在DR各級之間的分布情況。結(jié)果出現(xiàn)較多的前10個中醫(yī)證候要素為氣虛證、燥熱證、血瘀證、肝虛證、陰虛證、氣郁證、陽虛證、脾氣虛證、痰濕證、腎虛證。氣虛證、燥熱證、血瘀證、氣郁證、脾氣虛證在DR各級之間分布比較差異均無統(tǒng)計學(xué)意義(P0.05);肝虛證、陰虛證、陽虛證、痰濕證、腎虛證在DR各級之間分布比較差異有統(tǒng)計學(xué)意義(P0.05)。肝虛證出現(xiàn)頻率1級低于2級、3級、4級、5級(P0.005)。陰虛證出現(xiàn)頻率1級低于5級(P0.005)。陽虛證出現(xiàn)頻率1級低于4級、5級(P0.005),3級低于4級、5級(P0.005)。痰濕證出現(xiàn)頻率1級低于4級、5級(P0.005)。腎虛證出現(xiàn)頻率1級低于4級、5級(P0.005)。結(jié)論 DR患者中氣虛證、燥熱證、血瘀證、肝虛證、陰虛證出現(xiàn)較多,其中肝虛證在中晚期較重,陰虛證晚期較重,氣虛證伴隨疾病整個過程;氣郁證、陽虛證、脾氣虛證、痰濕證、腎虛證出現(xiàn)略少,但陽虛證、痰濕證和腎虛證晚期明顯加重。
[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.
【作者單位】： 北京中醫(yī)藥大學(xué)第一臨床醫(yī)學(xué)院眼科;北京市通州區(qū)中西醫(yī)結(jié)合醫(yī)院;
【分類號】：R276.7

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