高度近视与中医体质学相关性的初步探讨-中西医结合临床眼科专业论文.docxVIP

成都中医药大学硕士毕业论文 万方数据 中文摘要 目的：研究高度近视患者的中医体质的类型并分析高度近视与中医体质之间的相关性，初 步探讨高度近视患者的易感或倾向性体质。 方法：本次研究调查共纳入成都中医药大学附属医院眼科门诊和住院的病人共 271 例，其 中高度近视患者 200 例，正常患者 71 例。中医体质分为平和体质、气虚体质、阳虚体质、阴虚 体质、痰湿体质、湿热体质、血瘀体质、气郁体质和特禀体质 9 种，通过回答《中医体质分类 及判定表》中的所有问题，来判断患者的体质类型，并通过统计分析高度近视患者的体质特征。 结果：1.高度近视组与正常组患者相比较，偏颇体质中阳虚质、阴虚质、痰湿质、气郁质高 度近视组明显高于正常组，其中阳虚体质最多，阳虚体质、阴虚体质和气郁体质与平和体质相 比均有较显著的差异（X2=20.576，P＜0.05）。2.不同性别高度近视患者中医体质比较，女性以 阳虚质26.55%、阴虚质15.04%、气郁质13.27%，男性以阴虚质14.94%和气虚质11.49%者最为多 见（X2=25.099，P＜0.05），有统计学意义。3.不同年龄段高度近视患者中医体质的比较（X2=25.93， P＞0.5）无统计学意义。4.高度近视患者发生眼底改变的人群中气郁体质达到15.15%，明显高于 无眼底改变者，卡方检验X2=15.734，P＜0.05，有统计学意义。5.在九种体质中，气郁体质的高 度近视患者发生眼底改变的患病率最高，达到了75%，往后依次是平和体质、气虚体质、阴虚 体质、阳虚体质、特禀体质、血瘀体质、湿热体质、痰湿体质。 结论：高度近视与中医体质有一定的相关性，其中偏颇体质中的阳虚、阴虚及气郁体质的 人群较其他体质的人群更易发生高度近视及其眼底改变。 关键词：高度近视 中医体质 1  Abstract Objective: To investigate the correlation between high myopia and TCM constitution, study types of TCM constitutions of patients with high myopia and preliminarily explore susceptibility or tendency constitutions of patients with high myopia. Methods: In this study, 271 patients were included and hospitalized in the Ophthalmology Outpatient Department of Affiliated Hospital of Chengdu University of Traditional Chinese Medicine(TCM), including 200 patients with high myopia and 71 normal people. TCM constitution is divided into nine kinds, including constitution of yin-yang harmony, qi-deficiency constitution, yang-deficiency constitution, yin-deficiency constitution, phlegm-dampness constitution, damp-heat constitution, blood stasis constitution, qi-stagnation constitution and specific endowment constitution. By answering all questions in ―Chinese Constitution Classification and Determination Table‖, constitution types of patients were determined, and statistical analysis was conducted on constitution characteristics of patients with high myopia. Results: 1. High myopia group and normal control group were compared. In biased constitutions, yang-deficiency, yin-deficiency, phlegm-dampness and qi-stagnation