摘要
Abstract
Objective To explore the distribution regularity of the classification of diabetic retinopathy (DR)and its corresponding TCM syndrome elements.Methods The method of retrospective study was adopted and 412 diabetes mellitus patients were classified with the international clinical classification standard of DR.The distribution of TCM syndrome elements of the patients was observed and then the relationship between TCM syndrome elements and DR classification was analysed.The distribution regularity of qi deficiency syndrome,dryness-heat syndrome,blood stasis syndrome,liver deficiency syndrome,yin deficiency syndrome,qi stagnation syndrome,yang deficiency syndrome,spleen qi deficiency syndrome,phlegm damp syndrome and kidney deficiency syndrome in each level of DR were compared.Results 10 major TCM syndrome elements were qi deficiency syndrome,dryness-heat syndrome,blood stasis syndrome,liver deficiency syndrome,yin deficiency syndrome,qi stagnation syndrome,yang deficiency syndrome,spleen qi stagnation syndrome,phlegm damp syndrome and kidney deficiency syndrome.The comparative differences of distribution of qi deficiency syndrome,dryness-heat syndrome,blood stasis syndrome,qi stagnation syndrome and spleen qi deficiency syndrome in different levels of DR has no statistical significance(P>0.05).The comparative differences of distribution of liver deficiency syndrome,yin deficiency syndrome,yang deficiency syndrome,phlegm damp syndrome and kidney deficiency syndrome in different levels of DR has statistical significance (P<0.05).The frequency of liver deficiency syndrome in level 1 is lower than level 2,level 3,level 4 and level 5 (P<0.005).The frequency of yin deficiency syndrome in level 1 is lower than level 5 (P<0.005).The frequency of yang deficiency syndrome in level 1 is lower than level 4 and level 5 (P<0.005),in level 3 it is lower than level 4 and level 5 (P<0.005).The frequency of phlegm damp syndrome in level 1 is lower than level 4 and level 5(P<0.005).The frequency of kidney deficiency syndrome in level 1 is lower than level 4 and level 5 (P<0.005).Conclusion Qi deficiency syndrome,dryness-heat syndrome,blood stasis syndrome,liver deficiency syndrome and yin deficiency syndrome occurs more in DR.Among them,liver deficiency syndrome is more serious in the mid-late stage.Yin deficiency syndrome is more serious in the late stage,and qi deficiency syndrome appears along the whole process of the disease.Qi stagnation syndrome,yang deficiency syndrome,spleen qi deficiency syndrome,phlegm damp syndrome and kidney deficiency syndrome occurs less in DR,while yang deficiency syndrome phlegm damp syndrome and kidney deficiency syndrome shows an obvious aggravation in the late stage.关键词
糖尿病视网膜病变/相关因素/中医证候要素Key words
diabetic retinopathy/relevant factors/TCM syndrome elements分类
医药卫生
