年齡相關(guān)性黃斑變性患者中醫(yī)體質(zhì)及生存質(zhì)量的研究

年齡相關(guān)性黃斑變性患者中醫(yī)體質(zhì)及生存質(zhì)量的研究摘要：

目的：通過對年齡相關(guān)性黃斑變性（AMD）患者的中醫(yī)體質(zhì)和生存質(zhì)量的研究，探討中醫(yī)體質(zhì)與AMD患者生存質(zhì)量之間的關(guān)系，為臨床治療提供參考。

方法：研究選取150例年齡相關(guān)性黃斑變性患者，并通過中醫(yī)體質(zhì)問卷（CTPQ）進行問卷調(diào)查，以生存質(zhì)量評估量表（QLCI）對生存質(zhì)量進行評價。研究結(jié)果采用統(tǒng)計學(xué)方法進行分析。

結(jié)果：通過對數(shù)據(jù)的分析發(fā)現(xiàn)，年齡相關(guān)性黃斑變性患者的中醫(yī)體質(zhì)存在差異性，其中以平和質(zhì)、氣虛質(zhì)和陰虛質(zhì)為主。同時，生存質(zhì)量的評價結(jié)果亦印證了中醫(yī)體質(zhì)的差異性對于年齡相關(guān)性黃斑變性患者生存質(zhì)量的影響。其中，陰虛質(zhì)的患者生存質(zhì)量最低，平和質(zhì)的患者生存質(zhì)量最高。

結(jié)論：年齡相關(guān)性黃斑變性患者的中醫(yī)體質(zhì)與生存質(zhì)量存在一定關(guān)系，其中陰虛質(zhì)的患者生存質(zhì)量最低，平和質(zhì)的患者生存質(zhì)量最高。

關(guān)鍵詞：年齡相關(guān)性黃斑變性；中醫(yī)體質(zhì)；生存質(zhì)量；陰虛質(zhì)；平和質(zhì)。

ABSTRACT:

Objective:ThestudyaimstoexploretherelationshipbetweentraditionalChinesemedicine(TCM)constitutionandsurvivalqualityinpatientswithage-relatedmaculardegeneration(AMD)andtoprovidereferenceforclinicaltreatment.

Methods:Thestudyselected150patientswithage-relatedmaculardegenerationandconductedquestionnairesurveythroughtheChinesemedicineconstitutionquestionnaire(CTPQ)andevaluatedthesurvivalqualityusingtheQualityofLifeRatingScale(QLCI).Theresultswereanalyzedbystatisticalmethods.

Results:ThedataanalysisshowedthattheTCMconstitutionofpatientswithage-relatedmaculardegenerationwasdifferent,mainlyincludingthe"Pinghe","Qixu"and"Yinxu"types.EvidencealsosupportedtheimpactofTCMconstitutiononsurvivalquality.Thepatient'ssurvivalqualitywaslowestinthe"Yinxu"type,andhighestinthe"Pinghe"type.

Conclusion:ThereisacertainrelationshipbetweenTCMconstitutionandsurvivalqualityinpatientswithage-relatedmaculardegeneration.Patientswith"Yinxu"constitutionhadthelowestsurvivalquality,whilepatientswith"Pinghe"constitutionhadthehighestsurvivalquality.

Keywords:Age-relatedmaculardegeneration;TraditionalChinesemedicineconstitution;Survivalquality;Yinxutype;PinghetypeAge-relatedmaculardegeneration(AMD)isaleadingcauseofblindnessinelderlyindividuals.Whilemodernmedicinefocusesontreatingthediseaseitself,traditionalChinesemedicine(TCM)takesaholisticapproachtohealthandconsiderstheindividual'sconstitutionasanimportantfactorindiseasedevelopmentandprogression.

Inthisstudy,weinvestigatedtherelationshipbetweenTCMconstitutionandsurvivalqualityinpatientswithAMD.Ourresultsindicatethatpatientswitha"Yinxu"constitution,characterizedbyadeficiencyofenergyandblood,hadthelowestsurvivalquality.Incontrast,patientswitha"Pinghe"constitution,characterizedbyabalanceofenergyandblood,hadthehighestsurvivalquality.

Thesefindingssuggestthatconsideringanindividual'sTCMconstitutionmaybeusefulinpredictingtheirprognosisanddevelopingpersonalizedtreatmentplansforAMD.Whilefurtherresearchisneededtoconfirmtheresultsandexplorepotentialunderlyingmechanisms,integratingTCMintoAMDmanagementmayimproveoverallpatientoutcomesandqualityoflifeWhileWesternmedicinehasmadesignificantadvancesinunderstandingandtreatingAMD,theadditionofTCMcanofferamoreholisticapproachtopatientcare.Bytakingintoaccountanindividual'sconstitutionandaddressingunderlyingimbalances,TCMcanpotentiallyimprovebothvisualfunctionandoverallwell-beinginAMDpatients.

Inadditiontotheconstitution-basedapproachmentionedearlier,TCMoffersavarietyoftherapiesthatcancomplementWesterntreatmentsforAMD.Theseinclude:

1.Acupuncture:Thisancientpracticeinvolvesinsertingthinneedlesintospecificpointsonthebodytostimulatehealingandpromotebalance.InAMDpatients,acupuncturemayhelpimprovebloodflowtotheeyesandreduceinflammation.

2.HerbalMedicine:TCMusesavarietyofherbstotreatdifferentconditions,includingAMD.HerbslikeGinkgoBilobaandChrysanthemumhavebeenshowntohaveantioxidantandanti-inflammatoryproperties,whichcanbebeneficialforAMDpatients.

3.DietaryTherapy:TCMemphasizestheimportanceofdietinmaintaininghealthandtreatingillness.InAMDpatients,dietarytherapymayinvolveconsumingfoodswithhighlevelsofantioxidants,suchasdarkleafygreensandberries,tohelpprotecttheeyes.

4.Qigong:Thisgentleformofexercisecombinesmovement,breath,andmeditationtopromotehealingandbalance.InAMDpatients,qigongmayimprovecirculationandreducestress,bothofwhichcanbenefiteyehealth.

IntegratingTCMintothemanagementofAMDhasthepotentialtoimprovepatientoutcomesandenhanceoverallqualityoflife.However,itisimportanttonotethatTCMshouldnotbeusedasasubstituteforWesternmedicaltreatments.Rather,itshouldbeusedinconjunctionwithWesternmedicinetoprovideamorecomprehensiveapproachtopatientcare.

Inconclusion,AMDisacomplexconditionthatrequiresamulti-facetedapproachtomanagement.Byconsideringanindividual'sTCMconstitutionandutilizingthevarioustherapiesofferedbyTCM,wemaybeabletoimproveoutcomesandenhancetheoverallwell-beingofAMDpatients.FurtherresearchisneededtofullyunderstandthepotentialbenefitsofTCMinAMDmanagement,buttheinitialfindingsarepromisingOnepotentialareaofresearchcouldbetoexploretheuseofTCMincombinationwithWesternmedicinetreatmentsforAMD.Thiscouldinvolvestudyingtheeffectivenessofacupunctureorherbalmedicinewhenusedinconjunctionwithanti-VEGFtherapyorotherWesterntreatments.Additionally,moreresearchcouldbedonetobetterunderstandtherelationshipbetweenTCMconstitutionandAMDprogression,aswellastodeveloppersonalizedtreatmentplansbasedonanindividual'sspecificconstitutionandsymptoms.

AnotherareaofexplorationcouldbetoinvestigatetheuseofTCMasapreventativemeasureforAMD.TraditionalChinesemedicineplacesastrongemphasisonpreventativecare,andtheremaybepotentialbenefitstoincorporatingTCMpracticesintoroutineeyecareforindividualsatriskforAMD.

Overall,whilefurtherresearchisneededtofullyunderstandthepotentialbenefitsofTCMinAMDmanagement,theearlyfindingsarepromising.Bytakingaholisticapproachtopatientcare,utilizingthehealingmodalitiesofferedbybothWesternandtraditionalChinesemedicine,wemaybeabletoprovidemorecomprehensiveandeffectivetreatmentforindividualswithAMD.

Inconclusion,theuseofTCMinthemanagementofAMDrepresentsanexcitingareaofexplorationforresearchersandcli