摘要
目的观察原发性青光眼与中医肝郁体质特征的关系,为原发性青光眼的早期预防和已发生青光眼视神经保护的治疗提供依据。方法研究对象为2014年3月—2017年3月就诊于黑龙江中医药大学附属第一医院眼科并确诊为原发性青光眼的患者265例,通过比较原发性青光眼类型、性别、年龄及肝郁程度的相互关系,探讨原发性青光眼体质及其内涵。结果原发性青光眼的类型比例分布为原发性闭角型青光眼(PACG)81.51%,原发性开角型青光眼(POAG)16.60%和正常眼压性青光眼(NTG)1.89%,三种类型均以肝郁证为主(≥60.00%);不同类型的原发性青光眼患病率均女性多于男性(P<0.05),女性比男性原发性青光眼患者中肝郁证占比更大(P<0.05);PACG以老年患者多见,POAG和NTG以中青年患者多见,三种类型均以中、轻度肝郁证占比较大;90.96%符合肝郁证的原发性青光眼患者从小性格急躁易怒。结论原发性青光眼的发生、发展与肝郁证密切相关,发病前既有肝郁体质,发病后也多表现为肝郁证的体质特征。肝郁证是原发性青光眼人群的主流体质。
OBJECTIVE To observe the relationship between primary glaucoma and liver depression constitution in Traditional Chinese Medicine in order to provide basis for the early pre-vention of primary glaucoma and protection of optic nerve in glaucoma. METHODS A total of265 primary glaucoma patients treated in first affiliated hospital, Heilongjiang University of Chinese Medicine from March of 2014 to March of 2017 were included in the study. The type of primary glaucoma, gender, age and the degree of liver depression were analyzed to study the body constitution of glaucoma and its connotation. RESULTS The distribution proportion of different primary glaucoma types was that primary angle closure glaucoma(PACG) accounted for 81.51%,primary open angle glaucoma(POAG) accounted for 16.60%, and normal tension glaucoma(NTG)accounted for 1.89%. Different types of primary glaucoma were dominated by liver depression syndrome(≥60.00%). The female morbidities of different types of primary glaucoma were all higher than male(p<0.05) and liver depression syndrome of different types of primary glaucoma was more common in female than in male(p<0.05). In PACG cases, the aged people was prevalent, while in POAG and NTG cases, young people and middle-aged people were most commonly groups. The moderate and mild liver depression syndrome were most common cases in the three types of glaucoma. The 90.96% of primary glaucoma patients with liver depression syndrome had bad temper from childhood. CONCLUSIONS The occurrence and development of primary glaucoma was closely related to liver depression syndrome. For the patients were in liver depression constitution before its onset and still showed features of liver depression after development of the disease. Liver depression syndrome was the most common body constitution in primary glaucoma.
引文
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