本文選題：干眼 + 辨證分型　； 參考：《南京中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:以中醫(yī)基礎(chǔ)理論為指導(dǎo),觀察和分析干眼(dry eye)患者的中醫(yī)臨床辨證特點(diǎn),總結(jié)出干眼患者中醫(yī)辨證分型與焦慮、抑郁的相關(guān)規(guī)律,為臨床進(jìn)一步診療提供依據(jù)。方法:隨機(jī)抽取2016年02月-2017年01月就診于南京市中醫(yī)院眼科門(mén)診的患者,對(duì)符合納入標(biāo)準(zhǔn)的干眼患者進(jìn)行問(wèn)卷調(diào)查。運(yùn)用EpiData軟件將調(diào)查數(shù)據(jù)錄入后進(jìn)行整理,采用SPSS20.0軟件統(tǒng)計(jì)處理。對(duì)患者的一般情況,中醫(yī)辨證分型、年齡、性別、病程以及焦慮、抑郁情緒之間的相關(guān)性進(jìn)行統(tǒng)計(jì)分析,研究并總結(jié)其中的規(guī)律性。結(jié)果:干眼患者共126例,其中男性29例,女性共97例,氣陰兩虛證患者49例,脾胃濕熱證患者23例,陰虛濕熱證患者54例。干眼患者中醫(yī)證型與性別、年齡、受教育程度、睡眠時(shí)間無(wú)關(guān)(P0.05),與職業(yè)類(lèi)型、病程長(zhǎng)短、MGD、每日接觸視頻時(shí)間相關(guān)(P0.05)。干眼患者焦慮、抑郁情緒與性別無(wú)關(guān)(P0.05),與受教育程度相關(guān)(P0.05)。陰虛濕熱證患者更易發(fā)生焦慮、抑郁,各中醫(yī)證型間的差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:干眼患者中腦力勞動(dòng)者所占比例較大,此類(lèi)患者以氣陰兩虛證為主;脾胃濕熱證患者更易發(fā)生MGD;陰虛濕熱證患者病程較長(zhǎng),氣陰兩虛證患者病程較短。SAS、SDS量表表明:焦慮情緒與受教育程度無(wú)關(guān),抑郁情緒與受教育程度呈負(fù)相關(guān);HAMA、HAMD量表表明:干眼患者焦慮、抑郁情緒與受教育程度呈負(fù)相關(guān)。干眼患者以陰虛濕熱證發(fā)生焦慮、抑郁概率最高,可能與"內(nèi)火""痰濕"密切相關(guān)。在臨床診治干眼患者時(shí)可以予以適當(dāng)?shù)男睦砀深A(yù)以及辨證使用疏肝理氣藥物等治療。
[Abstract]:Objective: to observe and analyze the clinical syndrome differentiation characteristics of dry eye patients under the guidance of the basic theory of traditional Chinese medicine (TCM), and to summarize the related rules of TCM syndrome differentiation, anxiety and depression in patients with dry eye, so as to provide the basis for further clinical diagnosis and treatment. Methods: randomly selected patients who were admitted to Nanjing traditional Chinese Medicine Hospital from February 2016 to January 2017 were investigated by questionnaire. EpiData software is used to sort out the survey data, and SPSS20.0 software is used to process the data. The general situation of patients, TCM syndrome differentiation, age, sex, course of disease, anxiety and depression were statistically analyzed, and the regularity was studied and summarized. Results: there were 126 patients with dry eye, including 29 males, 97 females, 49 patients with deficiency of qi and yin, 23 patients with damp-heat syndrome of spleen and stomach, 54 patients with damp-heat syndrome of yin deficiency. The TCM syndromes of dry eye patients were not related to sex, age, education, sleep time, and occupational type, duration of disease and MGD. the daily video exposure time was correlated with P0.05. Anxiety and depression in dry eye patients were not related to sex (P 0.05), but to education level (P 0.05). Yin-deficiency damp-heat syndrome patients are more prone to anxiety, depression, the differences among TCM syndrome types have statistical significance (P 0.05). Conclusion: the proportion of mental labors in patients with dry eyes is large, such patients are mainly qi and yin deficiency syndrome, spleen and stomach damp-heat syndrome patients are more prone to MGD, Yin deficiency dampness and heat syndrome patients have a longer course of disease, and the patients with spleen and stomach damp-heat syndrome are more likely to develop MGD. The SDS scale showed that anxiety was not related to education, and depression was negatively related to education. The Hamd scale showed that anxiety, depression and education were negatively correlated in dry eye patients. The patients with dry eyes had the highest probability of anxiety and depression due to yin deficiency, dampness and heat syndrome, which might be closely related to "internal fire" and "phlegm dampness". In clinical diagnosis and treatment of dry eye patients can be given appropriate psychological intervention and dialectical use of drugs such as soothing the liver and regulating qi.
【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

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