原发性青光眼的“血瘀”症状特征

目的:分析原发性青光眼患者"血瘀"证候的出现频率及特征。方法:收集成都中医药大学附属医院眼科2007年12月—2010年12月原发性青光眼患者240例(453眼),对其证型、性别、年龄、病程、眼部及全身"血瘀"证状体征、全血黏度等进行回顾性分析。总结出原发性青光眼"血瘀"证的出现频率及特征性证候。结果:原发性青光眼"血瘀"证候出现频率依次为球结膜血管扩张、舌质紫黯或舌体有瘀斑,伴高血压、视网膜静脉阻塞、视网膜动脉阻塞、糖尿病者;球结膜血管扩张、舌质紫黯或舌体有瘀斑者可作为原发性青光眼"血瘀"特征性证候。

Discussion on Symptom Characteristics of Primary Glaucoma with Blood Stasis Syndrome

Objective:Analysis on frequencies and characteristics of blood stasis symptoms in patients with primary glaucoma was made.Methods:There were 240 patients(453 eyes) of primary glaucoma which were collected from Ophthalmology Department in Affiliated Hospital of Chengdu University of Traditional Chinese Medicine during December,2007 to December,2010.The review analysis on its type,sex,age,disease duration,the eye and whole body blood stasis symptoms,and the whole blood viscosity was made.The symptom characteristics of primary glaucoma with blood stasis were summarized.Results:The frequency of primary glaucoma blood stasis symptoms in order was as follows:conjunctiva vasodilatation,pulse string and unsmooth or irregular pulse,Tongue violet dark or with petechiae,accompanying hypertension,retinal vein blocking and retinal artery blocking and diabetes.Conclusion:Conjunctiva vasodilatation,tongue violet dark or with petechiae can be used as characteristic symptoms of primary glaucoma with blood stasis.