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目的:初步探讨角膜移植围手术期患者中医证型的演变规律,指导中医在角膜移植术围手术期的治疗。方法:通过对120例角膜移植患者,观察角膜移植术前及术后,对肝胆湿热证、外感风热证、阴虚火旺证、痰湿上犯证四种中医证型进行分析,统计各种证型所占总观察病例中的比例,分析角膜移植术前及术后所统计四种中医证候分型所占比例的变化。结果:患者术前肝胆湿热证及外感风热证所占比例较高,说明角膜移植术前患者多以肝胆湿热证及外感风热证为主;术后肝胆湿热证所占比例增加显著,说明术后角膜移植术后患者多以肝胆湿热证为主。结论:角膜移植患者术前以肝胆湿热证及外感风热证证为主,术后以肝胆湿热证为主,为角膜移植围手术期中医辨证治疗提供参考。
Objective: To investigate the evolution of TCM syndromes in perioperative period of corneal transplantation and to guide perioperative treatment of Chinese medicine in corneal transplantation. Methods: 120 patients with corneal transplantation were observed before and after corneal transplantation, liver and gallbladder damp-heat syndrome, exogenous wind-heat syndrome, yin deficiency fire syndrome, phlegm damp proof four kinds of TCM syndromes were analyzed, statistics The proportion of the total observed cases in the syndrome type and the changes of the proportions of the four TCM syndrome types before and after the corneal transplantation were analyzed. Results: Preoperative hepatobiliary damp-heat syndrome and exogenous wind-heat syndrome accounted for a higher proportion, indicating that patients with corneal transplantation were mostly hepatobiliary-damp-heat syndrome and exogenous wind-heat syndrome. The proportion of postoperative hepatobiliary-damp-heat syndrome increased significantly, indicating Postoperative corneal transplant patients mostly liver and gallbladder damp-heat syndrome. Conclusion: The patients with corneal transplantation were mainly liver and gallbladder damp-heat syndrome and exogenous wind-heat syndrome before operation. The patients were mainly hepatobiliary-damp-heat syndrome after keratoplasty, which provided a reference for the syndrome differentiation and treatment of perioperative period of corneal transplantation.