肝阳上亢型原发性高血压病患者白睛络脉形态学特点分析  

Analysis of the Morphological Characteristics of Collaterals in Sclera-conjunctiva of Essential Hypertension Patients of Liver-Yang Hyperactivity

作　　者：田立茹 王鹏琴[2] 张嘉敏 TIAN Liru;WANG Pengqin;ZHANG Jiamin(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China;Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,Liaoning,China)

机构地区：[1]辽宁中医药大学,辽宁沈阳110847 [2]辽宁中医药大学附属医院,辽宁沈阳110032

出　　处：《辽宁中医药大学学报》2022年第5期183-187,共5页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：辽宁彭氏眼针学术流派工作室建设项目(LPGZS2019-09);辽宁省中医药临床学(专)科能力建设项目(LNZYXZK201911)。

摘　　要：目的基于球结膜微循环观察肝阳上亢型原发性高血压病患者白睛络脉形态学的改变,为观眼识病理论提供形态学证据同时为其预防及临床治疗提供指导。方法采用TR8000D型微循环检测仪对60例确诊为肝阳上亢型原发性高血压病患者以及60例健康人群右眼白睛络脉进行微循环形态学分析。结果两组人群肝胆区比较差异有统计学意义(P<0.05),肝胆区球结膜微循环形态学积分比较疾病组高于健康组,差异有统计学意义(P<0.05);疾病组肝胆区球结膜微循环在清晰度、网络结构、微血管数、细静脉管径、细动脉管径、血管走形、边缘不齐、囊状扩张、微血管瘤、缺血区方面异常人数多于健康组,差异具有统计学意义(P<0.05)。结论肝阳上亢型原发性高血压患者肝胆区的球结膜微循环与健康人群比较形态学发生改变,具体表现为清晰度变差,网格结构出现,微血管个数减少,细静脉和细动脉管径的变细,血管走形异常,边缘不齐,有缺血区,血管出现囊状扩张表现,甚至出现微血管瘤,为观眼识病理论提供客观依据的同时,也为肝阳上亢型原发性高血压病的预防和诊疗提供思路。Objective By observing the changes of the bulbar conjunctiva microcirculation of essential hypertension patients of liver-Yang hyperactivity,the morphological evidence was provided for theory of diagnosis of inspecting eyes,it also provides guidance for its prevention and clinical treatment.Methods 60essential hypertension patients of liver-Yang hyperactivity were selected in the study(the disease group).at the same time,60 healthy people were recruited as the health group.The two groups were observed right eye of bulbar conjunctiva microcirculation by the TR8000D microcirculation detector.Results The difference of liver gallbladder region of the bulbar conjunctiva microcirculation of the two groups was statistically significant(P<0.05).The integral of the disease group was higher than the health group,and the difference was statistically significant(P<0.05).The bulbar conjunctiva microcirculation of the two groups of liver gallbladder region in definition,network structure,microvascular number,venule diameter,arteriole diameter,Vascular shape,margin irregularity,cystic expansion,microvascular tumor,and ischemia were statistically significant(P<0.05).Conclusion The results showed that essential hypertension patients of liver-Yang hyperactivity liver gallbladder region had changed by comparison morphology of healthy people,definition was poorer,grid structure emergenced,the number of microvessels decreased,diameter of venule and arteriole were fine,vascular shape were abnormal,margin irregularity,the ischemic zone,the blood vessels appeared cystic expansion,and even appeared the microvascular tumors,and the objective evidences were provides for theory of diagnosis of inspecting eyes,also provided the idea of the prevention and diagnosis of essential hypertension of liver-Yang hyperactivity.

关 键 词：原发性高血压 肝阳上亢型 球结膜微循环 观眼识病 肝胆区 

分 类 号：R544.1[医药卫生—心血管疾病]