绿风内障发病的季节性及其相关因素探讨  

Incidence season of greenish glaucoma and its related factors

作　　者：黄佩迎 王燕[1] 黄仁棠 俞晓艺[1] 关国华[1] HUANG Peiying;WANG Yan;HUANG Rentang(The First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine,Guangzhou 510000,China)

机构地区：[1]广州中医药大学第一附属医院,广州510000

出　　处：《中国中医眼科杂志》2020年第5期337-340,共4页China Journal of Chinese Ophthalmology

基　　金：关国华全国名老中医药专家传承工作室(国中医药人教函[2018]134号)。

摘　　要：目的探讨绿风内障发病的季节差异性及其与性别、年龄、中医证型的关联性,为本病的预防及治疗提供依据。方法对广州中医药大学第一附属医院2014年1月1日—2018年12月1日收治的250例绿风内障患者进行回顾性研究,分析不同季节绿风内障的发病情况及其与性别、年龄、中医证型的关联性。结果(1)绿风内障发病具有季节性,差异有统计学意义(χ^2=60.011,P=0.000);绿风内障发病季节与性别、中医证型有关联(χ^2性别=41.914,P=0.000;χ^2证型=14.753,P=0.026),与年龄无关联(P>0.05)。(2)绿风内障多在冬、春季发病,中老年女性高发,最常见的中医证型为肝郁气滞证。(3)夏季以男性发病为多,春、秋、冬三季以女性发病为多;春、夏、冬三季发病常见证型为肝郁气滞证,秋季发病常见证型为肝胆火旺证;四季均以老年人为高发人群。结论绿风内障属于季节性疾病,发病季节与性别、中医证型存在一定关联性,皆可从肝而论。对于中老年女性在春、秋季及冬季应注意防寒保暖,适当增加户外运动,注意身心调养,保持情绪稳定,可采用疏肝理气之药物;而男性则需在夏季适当注意饮食及生活习惯,防治此病。OBJECTIVE To explore the difference of incidence season of greenish glaucoma and its correlation with gender,age and Traditional Chinese Medicine(TCM)syndromes,to provide evidence for the prevention and treatment of this disease.METHODS The study subjects were 250 hospitalized patients with greenish glaucoma in the First Affiliated Hospital of Guangzhou University of TCM from 1 January,2014 to 1 December,2018.Then the incidence season of greenish glaucoma and its relationship with gender,age,TCM syndrome pattern was analyzed.RESULTS(1)The incidence of greenish glaucoma was seasonal,the difference were statistically significant(χ^2=60.011,P=0.000);the onset season of greenish glaucoma was related to gender and TCM syndrome pattern(χ^2 gender=41.914,P=0.000;χ^2 syndrome type=14.753,P=0.026),and it was not related to age(P>0.05).(2)Greenish glaucoma mostly occurred in winter and spring,and in middle-aged and elderly women.The most common type of TCM syndrome was liver depression and qi stagnation.(3)In summer,it more commonly attacked men,while in spring,autumn,and winter,it commonly occurred in women.In spring,summer,and winter,the most common syndrome was liver stagnation and qi stagnation;In autumn,the most common syndrome was effulgent liver-gallbladder fire.The elderly was the most susceptible population in all four seasons.CONCLUSIONS The greenish glaucoma was a seasonal disease,and its onset season was related to gender and TCM syndrome pattern,and all its syndrome patterns were linked to the liver.For middle-aged and elderly women,they should pay attention to keeping warm and avoiding cold in spring,autumn and winter,taking appropriated outdoor activities,keeping physical and mental health,maintaining emotional stability.They should take a medicine that soothing the liver and regulating qi.Nevertheless,the male needed to pay attention to proper diet and living habits in the summer to prevent and treat the disease.

关 键 词：绿风内障 季节 中医证型 性别 年龄 

分 类 号：R775.2[医药卫生—眼科]