CAJ | 학술논문

目的：通过对视疲劳患者的调查，探讨视疲劳患者的症状发生频率及证型分布。方法设计视疲劳调查表，采集视疲劳患者一般资料及中医四诊信息，进行视力、验光、隐斜、眼压、角膜上皮荧光素染色等检查，将患者各症状、体征、舌脉录入计算机，建立数据库。运用SPSS17.0软件计算症状发生频率和证候分布。结果①症状发生频率从高到低依次为院眼干涩、眼疲倦、眼胀痛、视物模糊、眼酸、颈肩酸痛、疲倦(发生频率>50%)；②肝肾阴虚、肝肾阴虚夹气滞、肝肾阴虚夹湿的累计频率达81.08%，其中肝肾阴虚的出现频率达43.24%。结论①视疲劳以眼局部症状为主，伴随全身不适，且与精神因素相关；②视疲劳临床证型可分为肝肾阴虚、肝肾阴虚夹气滞、肝肾阴虚夹湿三型，以肝肾阴虚最为多见，部分证型为复合证型。
목적：통과대시피로환자적조사，탐토시피로환자적증상발생빈솔급증형분포。방법설계시피로조사표，채집시피로환자일반자료급중의사진신식，진행시력、험광、은사、안압、각막상피형광소염색등검사，장환자각증상、체정、설맥록입계산궤，건립수거고。운용SPSS17.0연건계산증상발생빈솔화증후분포。결과①증상발생빈솔종고도저의차위원안간삽、안피권、안창통、시물모호、안산、경견산통、피권(발생빈솔>50%)；②간신음허、간신음허협기체、간신음허협습적루계빈솔체81.08%，기중간신음허적출현빈솔체43.24%。결론①시피로이안국부증상위주，반수전신불괄，차여정신인소상관；②시피로림상증형가분위간신음허、간신음허협기체、간신음허협습삼형，이간신음허최위다견，부분증형위복합증형。
Objective To explore the law of TCM syndrome dif erentiation of asthenopia and its related factors in modern life through surveys of symptoms and signs of asthenopia . Methods We designed clinical questionnaires to col ect the general information and four diagnostic methods information, and gave them some related examinations such as visual acuity, optometry, intraocular pressure measurment, recessive strabismus measurement, convergence, corneal epithelium fluorescein staining and etc. We put the data of quantified TCM symptom-sign (including the symptoms of tongue and pulse) into computer to establish the database. SPSS17.0 statistics software was adopted to analyse thefrequencies of syndromesand TCM syndromes . Results ①The most common symptoms in descending order were dry eyes, eye fatigue, orbit acid bilges, eye pain, hypopsia, blur ed vision, sourness of eye, neck shoulder ache, lassitude (frequency>50%). ②The cumulative frequence of TCM syndromes including yin deficiency of liver and kidney, liver-kidney yin deficiency with qi stagnation, liver-kidney yin deficiency with dampness.was 81.08%. The frequence of syndrome of yin deficiency of liver and kidney was 43.24%. Conclusion ①Local eye symptoms were the main manifestations of asthenopia, accompanied with whole body symptomsand cor elated with psychogenic factors.②TCM syndrome types of asthenopia were categorized .③which were liver-kidney yin deficiency, liver-kidney yin deficiency with qi stagnation, and liver-kidney yin deficiency with dampness. Among them, liver-kidney yin deficiency was the most common type, some syndrome types were compounded with each other.