葡萄膜炎患者发作期与静止期的中医体质调查分析  

Investigation and analysis of TCM constitution in patients with uveitis during onset period and static period

作　　者：谢思嘉 周婉瑜[2] 褚利群 吴建国[2] XIE Sijia;ZHOU Wanyu;CHU Liqun;WU Jianguo(Beijing University of Chinese Medicine,Beijing 100029,China;Department of Ophthalmology,Xiyuan Hospital of China Academy of Chinese Medical Sciences,Beijing 100091,China)

机构地区：[1]北京中医药大学,北京100029 [2]中国中医科学院西苑医院眼科,北京100091

出　　处：《中华中医药杂志》2024年第6期3126-3129,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：首都卫生发展科研专项项目(No.2022-2-4174)。

摘　　要：目的:调查葡萄膜炎患者发作期与静止期的中医体质分布与差异特征,为临床防治提供思路。方法:选取2022年7月—2023年7月就诊于中国中医科学院西苑医院眼科的葡萄膜炎患者124例(发作期61例,静止期63例),与同期124名健康人进行体质比较,同时比较发作期与静止期的体质差异。结果:葡萄膜炎患者体质分布前两位的是痰湿质和气虚质,发作期时痰湿质为首位,静止期时气虚质为首位。葡萄膜炎患者与健康人的所有体质比较均有显著性差异(P<0.01,P<0.05),发作期患者与静止期患者的平和质、阴虚质、痰湿质、湿热质和气郁质均有显著性差异(P<0.01,P<0.05)。结论:发作期患者比静止期患者湿热质更多,静止期患者比发作期患者平和质更多。Objective:To investigate the traditional Chinese medicine(TCM) constitution distribution and difference characteristics of patients with uveitis during the onset period and static period,so as to provide reference for TCM clinical treatment of uveitis.Methods:A total of 124 patients with uveitis(including 61 patients of uveitis during the onset period and 63patients during the static period) who were treated in ophthalmic clinic of Xiyuan Hospital of China Academy of Chinese Medical Sciences from July 2022 to July 2023 were selected and compared the differences of TCM constitution with 122 healthy people in the same period.At the same time,the differences of TCM constitution between the patients during the onset period and the static period were compared.Results:The first two TCM constitutions of patients with uveitis were phlegm-dampness constitution and qi-deficiency constitution.Phlegm-dampness constitution was the first in the onset period,and qi-deficiency constitution was the first in the static period.All TCM constitutions of patients with uveitis were different from those of healthy people(P<0.01,P<0.05);There were significant differences in the gentleness constitution,yin-deficiency constitution,phlegm-dampness constitution,dampness-heat constitution and qi-stagnation constitution between patients with uveitis during the onset period and static period(P<0.01,P<0.05).Conclusion:There are more patients during the onset period with dampness-heat constitution and more patients during the static period with gentleness constitution.

关 键 词：葡萄膜炎 中医体质 发作期 静止期 治未病 

分 类 号：R276.7[医药卫生—中医五官科学]