老年性白内障中西医易患因素调查研究

Investigation on TCM and WM Susceptible Factors on Senile Cataract

用临床流行病学的方法调查中老年干部７４３名，以逐步回归法作多元分析，提示老年性白内障中西医易患因素为：中医阴虚、中医衰老指数、糖基化血红蛋白、血小板最大聚集率、全血粘度、最大通气量、记忆功能、性格、身高、舒张压、眼底等。说明应采取中西医结合综合措施防治老年性白内障。

In 743 cases,the TCM and WM susceptible factors of senile cataract (SC) was studied by the clinical epidemiological investigation.By single factor analysis,the result showed that in WM,the susceptible factors of SC mostly related to (1) case history:coronary heart disease,old ages,smoking,multiple offsprings,(2) physical sign:short build,with coronary sulcus,higher systolic pressure, pulse pressure and average arterial pressure,(3) cardiovascular function:abnormal EKG,higher heart beat index,short microcirculatory stasis time,lower carrier viscosity of blood,(4) dysfunction of brain,(5) deficiency of pulmonary function,(6) lower RBC ATPase,higher whole blood reduction viscosity.While in TCM,it was related to (1) old aged and general asthenia,(2) deficiency of Qi,Heart,Liver or Kidney,(3) Blood Stasis.By stepwise regression analysis,the result showed that SC occurred through the combination with 13 factors of TCM and WM,including Yin Deficiency,senility index,hemorheology index,brain function, pulmonary function,blood pressure,body height,character,optical fundus,etc.