162例黑龙江省原发性青光眼患者的中医体质类型分布探析  

Analysis on distribution of TCM constitution types of 162 patients with primary glaucoma in Heilongjiang Provinc

作　　者：董霏雪[1,2] 孙河[1] 刘旭[2] 樊晓瑞[1] 王丽媛 赵爽 DONG Feixue;SUN He;LIU Xu;FAN Xiao rui;WANG Li yuan;ZHAO Shuang(The first affiliated hospital,Heilongjiang University of Chinese Medicine,Harbin 150040,China)

机构地区：[1]黑龙江中医药大学附属第一医院,哈尔滨150040 [2]黑龙江中医药大学,哈尔滨150040

出　　处：《中国中医眼科杂志》2022年第3期202-206,共5页China Journal of Chinese Ophthalmology

基　　金：黑龙江省自然科学基金(QC2018115);黑龙江中医药学会青年中医药科技创新项目(ZHY19-031);黑龙江中医药大学科研基金项目(201510)。

摘　　要：目的根据中医“体质九分法”,探讨原发性青光眼的易感体质,从而“未病先防、已病防变”,应用治未病原则指导眼病临床治疗,重点关注易感体质人群,及早干预,纠正偏颇体质,以期最大限度保护视功能。方法收集2017年5月—2021年1月黑龙江省内患者,并就诊于黑龙江中医药大学附属第一医院确诊为原发性青光眼的患者162例,其中原发性闭角型青光眼(PACG)96例;原发性开角型青光眼(POAG)66例,其中高眼压型58例,正常眼压型(NTG)8例。根据“体质九分法”对162例患者进行体质分型,并探讨发病机制。结果黑龙江省原发性青光眼患者中PACG患病率高于POAG,达到59.3%;在POAG患者中气郁质(占42.4%)、气虚质(占15.2%)、阳虚质(占10.6%)为偏颇体质中的前3位;在PACG患者中气郁质(占38.5%)、阳虚质(占18.8%)为偏颇体质的前2位,第3位为气虚质和阴虚质(占10.4%);在162例原发性青光眼患者中占前3位的分别为:气郁质、阳虚质、气虚质,气郁体质患者65例(40.1%)、阳虚体质患者25例(15.4%)、气虚体质患者20例(12.3%)。结论原发性青光眼具有一定体质特征,气郁体质在青光眼患者中最常见,这一体质可能与青光眼的形成有紧密的内在联系。OBJECTIVE To investigate the susceptible constitution of primary glaucoma under the guidance of TCM constitution theory,so as to prevent before the disease arises and prevent disease from exacerbating,which helps to guide clinical treatment,focus on susceptible population,and early intervention to correct biased consitution,in the hope of protecting visual function to the greatest extent.METHODS A total of 162 patients with primary glaucoma diagnosed in the First Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine from May 2017 to January 2021 who lived in Heilongjiang Province were collected,including 96 cases of primary angle-closure glaucoma(PACG),and 66 cases of primary open-angle glaucoma(POAG).Among these patients,there were 58 cases of high intraocular pressure type and 8 cases of normal intraocular pressure(NTG)type.The constitution types of 162 patients were classified according to the TCM constitution theory,and the pathogenesis was discussed.RESULTS The prevalence of PACG in patients with primary glaucoma in Heilongjiang Province was higher than POAG,reaching 59.3%.In POAG patients,Qi depression(42.4%),Qi deficiency(15.2%)and Yang deficiency(10.6%)were the top three in biased constitution.In PACG patients,Qi depression(38.5%)and Yang deficiency(18.8%)were the top two biased constitution,and the third was Qi deficiency and Yin deficiency(10.4%).Among 162 patients with primary glaucoma,the top three constitutions were Qi depression,Yang deficiency and Qi deficiency.There were 65 patients with Qi depression(40.1%),25 patients with Yang deficiency(15.4%)and 20 patients with Qi deficiency(12.3%).CONCLUSIONS Primary glaucoma has certain constitutional characteristics,and Qi depression is the most common in glaucoma patients,which may have a close internal relationship with the formation of glaucoma.

关 键 词：原发性闭角型青光眼 原发性开角型青光眼 正常眼压性青光眼 中医体质学说 黑龙江省 

分 类 号：R276.7[医药卫生—中医五官科学]