文献类型：期刊文献

中文题名：不同中医证型代谢综合征白睛眼象分布特征及其护理对策

英文题名：Distribution Characteristics of sclera microvascular features Image in Patients with Metabolic Syndrome of Different Traditional Chinese Medicine Syndromes and Nursing Countermeasures

作者：代晶晶[1];卢玉俊[1];和芳娟[1];杨文媛[1]

第一作者：代晶晶

机构：[1]甘肃中医药大学附属医院,甘肃兰州730000

第一机构：甘肃中医药大学第二附属医院

年份：2026

卷号：40

期号：5

起止页码：40

中文期刊名：实用中医内科杂志

外文期刊名：Journal of Practical Traditional Chinese Internal Medicine

基金：国家科技部重点研发计划项目(2018YFC704200)。

语种：中文

中文关键词：中医证型;代谢综合征;白睛眼象;护理

外文关键词：traditional Chinese medicine syndrome type;metabolic syndrome;sclera microvascular features image;nurse

摘要：目的探讨不同中医证型代谢综合征(metabolic syndrome,MS)患者白睛眼象分布特征及其护理对策。方法收集2023年8月—2024年2月于甘肃中医药大学附属医院就诊的MS患者91例。将患者分为痰湿中阻、气血亏虚、肝阳上亢、肾精亏虚、瘀血内阻五个证型,记录其性别、年龄、血压、腰围、体质量指数等一般数据,并由目诊仪自动识别记录其白睛目络的颜色特征、形态特征、区域特征及其在白睛中的出现频次,探讨不同中医证型MS患者白睛眼象分布特征及其护理对策。结果患者中痰湿中阻60例(65.9%)、气血亏虚5例(5.5%)、肝阳上亢11例(12.1%)、肾精亏虚6例(6.6%)、瘀血内阻9例(9.9%)。不同证型患者的收缩压、舒张压比较,差异有统计学意义(P<0.05),其中肝阳上亢型的舒张压明显高于其余各型。不同证型患者的目络血脉颜色特征、目络形态特征、目络分布区域特征比较,差异均有统计学意义(P<0.01)。结论不同中医证型MS患者的目络血脉颜色、形态特征、分布区域等白睛眼象,分布特征具有规律性,可借助目诊仪等现代化AI技术,使中医的望目辨证更加客观准确,并针对性的给予护理措施,做到辨证施护,提高MS及其眼病的护理质量。
Objective:To investigate the characteristics of ocular manifestations in patients with metabolic syndrome of different syndromes and its nursing countermeasures.Method:From August 2023 to February 2024,91 inpatients in the Affiliated Hospital of Gansu University of Traditional Chinese Medicine were collected and diagnosed as metabolic syndrome.The patients were divided into five syndrome types:phlegm-dampness middle blockage,Qi and blood deficiency,liver-yang hyperactivity,kidney-essence deficiency,and blood stasis internal blockage.General data such as gender,age,BP,waist circumference,and BMI were recorded.The color features,morphological features,regional features and the frequency of occurrence of the sclera microvascular features were automatically identified and recorded by the ophthalmoscope.The distribution features of the sclera microvascular features and the nursing strategies of patients with different traditional Chinese medicine syndrome types of metabolic syndrome were discussed.Results:60 cases(65.9%)of the patients were blocked by phlegm dampness,5 cases(5.5%)of qi and blood deficiency,11 cases(12.1%)of liver-yang hyperactivity,6 cases(6.6%)of kidney essence deficiency,9 cases(9.9%)of blood stasis.The SBP and DBP of patients with different syndrome types were significant(P<0.05),and the diastolic blood pressure of hyperactivity of liver yang type was significantly higher than that of other types.There were significant differences among patients with different syndrome types in the color characteristics of eye collaterals and blood vessels,morphological characteristics of eye collaterals,and regional characteristics of eye collaterals distribution.Conclusions:The ocular manifestations of sclera microvascular features in patients with different syndrome types,such as eye collaterals,blood vessel color,morphological characteristics and distribution area,have regular characteristics.Modern AI technology such as eye diagnostic instrument can be used to make traditional Chinese medicine eye differentiation more objective and accurate,and targeted nursing measures can be given.