CAJ | 학술논문

目的通过对糖尿病视网膜病变现代文献系统评价,研究其中医证型及证候要素的分布规律,为进行该病证候的规范化及客观化研究提供依据.方法在设定的检索策略及标准下纳入合格文献,规范证名、提取证侯要素,利用Epidata2.0软件建立文献数据库,使用SPSS13.0统计软件对其证型及证候要素频数进行统计分析.结果糖尿病视网膜病变的常见证型为气阴两虚、阴阳两虚、阴虚内热、血瘀、气滞血瘀、阴虚火旺、肝气郁结、肝肾阴虚等;病位主要涉及肝、肾、脾;病性以阴虚、气虚、血瘀、火(热)、阳虚为主.结论目前糖尿病视网膜病变的中医证候名称及诊断标准不统一,不便于临床应用及学术交流,有必要引入"证侯要素"的概念,为实现证候要素量化诊断及证候要素应证组合奠定基础.
목적 통과대당뇨병시망막병변현대문헌계통평개,연구기중의증형급증후요소적분포규률,위진행해병증후적규범화급객관화연구제공의거.방법 재설정적검색책략급표준하납입합격문헌,규범증명、제취증후요소,이용Epidata2.0연건건립문헌수거고,사용SPSS13.0통계연건대기증형급증후요소빈수진행통계분석.결과 당뇨병시망막병변적상견증형위기음량허、음양량허、음허내열、혈어、기체혈어、음허화왕、간기욱결、간신음허등;병위주요섭급간、신、비;병성이음허、기허、혈어、화(열)、양허위주.결론 목전당뇨병시망막병변적중의증후명칭급진단표준불통일,불편우림상응용급학술교류,유필요인입"증후요소"적개념,위실현증후요소양화진단급증후요소응증조합전정기출.
Objective To research the distribution discipline of typing of syndrome differentiation and syndrome factors on Diabetic Retinopathy (DR) by system evaluating the neoteric literature of DR, and to give some evidences on the research of standardization and objectivity about TCM syndrome. Methods According to retrieval strategy and inclusion criteria collect neoteric literature,to standardize the title of syndrome and extract syndrome factors, build up a literature data-base by epidata2.0 software and analyze the data by SPSS13.0 software.Results The common types of syndrome are deficiency of "Qi" and "Yin", deficiency of "Yin" and "Yang", interior heat caused by "Yin" deficiency, blood stasis, "Qi" stagnation and blood stasis, excessive pyrexia caused by "Yin" deficiency, depression of liver-"Qi", "Yin"-deficiency of liver and kidney .etc. The principal positions of the illness are liver, kidney and spleen. The principal characteristics of the illness are "Yin" deficiency, "Qi" deficiency, blood stasis, fire (heat), "Yang" deficiency.Conclusion Now the title of syndrome and the standard of diagnosis of syndrome are so complicated that hard to be used in clinical application and academic communication. So lead in the new concept of syndrome factors will establish the foundation for implementing quantization diagnosis about syndrome factors and the combination of syndrome factors.