摘要
目的研究互联网从业人员干眼的中医证型及证候要素分布规律,以及其与年龄、性别、眼部主症之间的相关性。方法随机整群抽样2018年11月—2018年12月北京市某大型互联网公司中青年员工613例,筛查确诊为干眼患者356例,由专人对干眼患者进行中医证候评估访谈,填写中医证候量表;将患者的症状、体征、舌脉信息等依据证候辨证素量表提取,诊断相应证素。分析纳入病例的中医证型、证候要素分布情况,以及年龄、性别、眼部主症与中医证型之间的关系。结果(1)中医证型:248例互联网从业干眼患者的中医证型从高到低依次为气阴两虚证(65例,26.21%)、肝肾阴虚证(55例,26.18%)、肺阴不足证(51例,20.56%)、脾气亏虚证(35例,14.11%)、阴虚湿热证(22例,8.87%)、肝经郁热证(20例,8.06%)。(2)证素:共提取得到核心证素8项。其中,病性证素5项,从高到低依次为阴虚(205例,82.66%)、气虚(121例,48.79%)、气滞(110例,44.35%)、热蕴(91例,36.69%)、内湿(60例,24.19%);病位证素3项,从高到低依次为肝(138例,55.65%)、肺(68例,27.42%)、肾(57例,22.98%)。(3)性别:6种中医证型的互联网从业干眼患者的性别占比比较,差异无统计学意义(P>0.05)。(4)年龄:不同年龄段的肝肾阴虚证患者占比比较,差异有统计学意义(χ^(2)=13.215,P=0.001),干眼患者的占比随年龄增长逐渐升高。不同年龄段之间气阴两虚证、肺阴不足证、脾气亏虚证、阴虚湿热证、肝经郁热证的占比比较,差异无统计学意义(P>0.05)。(5)眼部主症:248例干眼患者均有2种以上眼部主症,从高到低依次为疲劳感(229例,92.34%)、干涩感(222例,89.52%)、异物感(128例,51.61%)、视力波动(100例,40.32%)、烧灼感(93例,37.50%)。其中,疲劳感和干涩感的不同中医证型占比比较,差异均有统计学意义(χ_(疲劳感)^(2)=14.687,P=0.012;χ_(干涩感)^(2)=11.285,P=0.046)。结论互联网从业者干眼的中医证型以气�
OBJECTIVE To investigate the distribution patterns of Traditional Chinese Medicine(TCM)syndrome types and syndrome elements in dry eye among internet industry workers,and explore their correlation with age,gender,and primary ocular symptoms.METHODS A random cluster sampling was conducted from November to December 2018,involving 613 young and middle-aged employees from a large internet company in Beijing.A total of 356 dry eye patients were diagnosed,and TCM syndrome assessment interviews were conducted by trained personnel using a TCM syndrome scale.The symptoms,signs,tongue,and pulse information of the patients were extracted according to the syndrome differentiation scale to determine the corresponding syndrome elements.The distribution of TCM syndrome types and syndrome elements,and their relationship with age,gender,and primary ocular symptoms were analyzed.RESULTS(1)TCM syndrome types:Among 248 dry eye patients in the internet industry,the most common TCM syndrome types were Qi and Yin deficiency syndrome(65 cases,26.21%),liver and kidney Yin deficiency syndrome(55 cases,26.18%),lung Yin deficiency syndrome(51 cases,20.56%),spleen Qi deficiency syndrome(35 cases,14.11%),Yin deficiency with damp-heat syndrome(22 cases,8.87%),and liver Qi stagnation with heat syndrome(20 cases,8.06%).(2)Syndrome elements:A total of eight core syndrome elements were extracted.Among them,the pathogenic elements(in descending order)were Yin deficiency(205 cases,82.66%),Qi deficiency(121 cases,48.79%),Qi stagnation(110 cases,44.35%),heat accumulation(91 cases,36.69%),and internal dampness(60 cases,24.19%).The location of the disease elements(in descending order)were liver(138 cases,55.65%),lung(68 cases,27.42%),and kidney(57 cases,22.98%).(3)Gender:The gender distribution among the six TCM syndrome types in dry eye patients in the internet industry showed no significant statistical differences(P>0.05).(4)Age:The comparison of the proportion of patients with liver and kidney Yin deficiency syndrome across different age groups showe
作者
梁子钰
何萍
吴鲁华
龙子弋
孟欢
王志强
LIANG Ziyu;HE Ping;WU Luhua;LONG Ziyi;MENG Huan;WANG Zhiqiang(Beijing University of Chinese Medicine Third Affiliated Hospital,Beijing 100029,China)
出处
《中国中医眼科杂志》
2024年第12期1108-1113,共6页
China Journal of Chinese Ophthalmology
基金
北京中医药大学青年教师项目(2017-JYB-JS-117)。
关键词
干眼
中医证候
证素
互联网从业者
局部辨证
dry eye
Traditional Chinese Medicine syndrome
syndrome elements
internet industry workers
local syndrome differentiation
