中医体质类型与近视相关性的Meta分析  

A Meta-Analysis of the Correlation Between TCM Constitution Types and Myopia

作　　者：郭姝倩 毛新蕊 刘雅琪 吴利龙[2] GUO Shu-qian;MAO Xin-rui;LIU Ya-qi;WU Li-long(Hunan University of Traditional Chinese Medicine,Changsha 410208,China;The Second Affiliated Hospital of Hunan University of Traditional Chinese Medicine,Changsha 410005,China)

机构地区：[1]湖南中医药大学,湖南长沙410208 [2]湖南中医药大学第二附属医院,湖南长沙410005

出　　处：《云南中医中药杂志》2024年第12期23-30,共8页Yunnan Journal of Traditional Chinese Medicine and Materia Medica

基　　金：湖南省卫生健康委员会一般指导项目(D202307026047)。

摘　　要：目的通过Meta分析研究近视与中医体质的相关性,初步明确近视患者中医体质分布规律,为从体质角度防治近视提供依据。方法通过检索国内外文献数据库,纳入符合要求的近视与中医体质相关性文献,应用Stata17软件进行Meta分析,结果以分布率、比值比及其95%置信区间表达效应值。结果共纳入22项研究,近视人群占比较大的有阳虚质13%、气虚质12%、阴虚质11%、气郁质10%,中低度近视气虚质占比13%,阳虚质占比12%,高度及病理性近视阳虚质占比20%、阴虚质占比15%,组间比较气虚质、气郁质、阳虚质、阴虚质为近视人群的危险因素,平和质是近视人群的保护因素,其余体质差异无统计学意义。结论气虚质、气郁质、阳虚质、阴虚质是近视人群主要体质类型,其与正常人群存在明显差异,这可能成为调整体质防控近视的切入点。Objective:To study the correlation between myopia and TCM constitution types through a Meta-analysis,identifying the distribution patterns of TCM constitutions among myopic patients and to provide a basis for the prevention and treatment of myopia from the perspective of constitution.Methods:Relevant literature on myopia and TCM constitution correlation was retrieved from domestic and international databases and the studies meeting the inclusion criteria were analyzed using Stata 17 software,and effect sizes were expressed as distribution rates,odds ratios,and 95%confidence intervals.Results:A total of 22 studies were included.Among myopic individuals,the most prevalent constitution types were Yang-deficiency(13%),Qi-deficiency(12%),Yin-deficiency(11%),and Qi-stagnation(10%).For mild to moderate myopia,Qi-deficiency accounted for 13%,and Yang-deficiency for 12%.For severe and pathological myopia,Yang-deficiency constituted 20%,and Yin-deficiency 15%.Comparisons between groups indicated that Qi-deficiency,Qi-stagnation,Yang-deficiency,and Yin-deficiency were risk factors for myopia,while a balanced constitution was a protective factor.No statistically significant differences were observed for other constitution types.Conclusion:Qi-deficiency,Qi-stagnation,Yang-deficiency,and Yin-deficiency are the primary constitution types among myopic individuals,differing significantly from those in the general population.These findings may provide a starting point for the prevention and control of myopia through constitution adjustment.

关 键 词：中医体质 近视 META分析 

分 类 号：R778.11[医药卫生—眼科]