Study Of Correlation Of Anxiety And Depression With Syndrome Differentiation Of Dry Eye

Objective:Under the guidance of basic theory of Traditional Chinese Medicine(TCM),to analysis the clinical feature of syndrome differentiation of traditional Chinese medicine of patients with dry eye.The purpose of the study is to summary the correlation of anxiety and depression with syndrome differentiation of TCM of the patients with dry eye and to provide the basis for further clinical diagnosis and treatment.Methods:The dry eye patients treated in the Ophthalmology Department of The Third Affiliated Hospital of Nanjing University of Traditional Chinese Medicine during February 2016 and January 2017 and complying with the inclusion criteria were randomly selected.EpiData was applied to organize the data after data entry,and then statistical processing was made with SPSS20.0,to analyze general information of patients,the correlation between their anxiety and depression and their age,gender,course of disease and syndrome differentiation,and then study the laws.Results:There were altogether 126 dry eye patients,in which males were 29 and females were 97;patients with qi-yin deficiency syndrome were 49,those with spleen-stomach damp-heat syndrome were 23,and those with the syndrome of yin deficiency and dampness-heat were 54.The TCM syndromes of dry eye patients showed no correlation with gender,age,education degree and sleep time(P>0.05),but were correlated with the occupation type,disease course,MGD and daily contact with videos(P<0.05).The anxiety and depression emotions of dry eye patients were irrelevant with gender(P<0.05),but correlated with education degree(P<0.05).The patients with the syndrome of yin deficiency and dampness-heat were more likely to have anxiety and depression emotions,and the difference among different TCM syndromes was of statistical significance(P<0.05).Conclusion:Among the 126 dry eye patients,the brain workers accounted for a large proportion,and they mainly showed the qi-yin deficiency syndrome;patients with spleen-stomach damp-heat syndrome were more likely to have MGD;those with the syndrome of yin deficiency and dampness-heat always had long disease course,compared to the short course of those with qi-yin deficiency syndrome.The scale SAS、SDS showed that the anxiety of dry eye patients was irrelevant with their education degree,while their depression was in negative correlation with the education degree.The scale HAMA、HAMD showed that their anxiety and depression was in negative correlation with the education degree.Among the dry eye patients,those with the syndrome of yin deficiency and dampness-heat had the highest probabilities of anxiety and depression,which might be closely related to "endogenous fire" and "phlegm dampness".In clinical treatment,the dry eye patients were given proper psychological intervention and the drugs to sooth the liver and regulate qi.