Studies On Caliberinfluence Of Correlation Factors Of Primary Hypertension To Retina Blood Vessel

The hypertension gets sick the cause of disease, the pathology and the clinical manifestation quite are all complex. Must achieve the early diagnosis, looked resembles easy and also is not easy. Besides the survey blood pressure, the eye ground is the human body only to draw support from the instrument to be able directly to see the small blood vessel the place, in the hypertension course of an illness, it may quite correctly respond in vivo other important organs the situation. On clinical longest uses is through the ophthalmoscope visual observation, but is decided to the retina structural change observation in some kind of degree by viewer's experience, thus has the certain subjectivity, also is very difficult to eliminate between viewer's difference. Therefore through provides the objective target to the color photography technology and the picture processing system to the retina sound of something astir arteries caliber survey, thus increase contrast credibility. This research in teacher under the instruction, in refers the domestic and foreign center doctors practicing western medicine literature in the foundation, the observation different Chinese medicine card and arises the age, the blood pressure graduation, the course of an illness to the retina blood vessel caliber change influence, then discovers to the retina blood vessel caliber affects a bigger factor. In line with macroscopic and microscopic unifies, the theory and clinical unifies the idea which, the tradition and the modern age unifies, provides the new mentality and the method for the primary hypertension diagnosis and the curative effect judgment.Literature research:Refers to the domestic and foreign literature, through epidemiology investigation which gets sick to the hypertension, in modern medicine blood pressure, arises the age, the course of an illness to the retina blood vessel caliber influence research and the motherland tradition medicine to the hypertension retina arteriosclerosis research present situation summary, thought through the color photography technology and the picture processing system to the retina sound of something arteries caliber survey took the primary hypertension diagnosis and the curative effect judgment objective target, is feasible.Clinical research:Goal: Through to the retina blood vessel caliber survey and the statistics, at in the primary hypertension multitudinous correlation factor, initially discovers to the retina blood vessel caliber affects a bigger factor; Relates the Chinese medicine card with the objective target, the judgment target is objective.Method: To 31 examples hypertension patient and 30 examples Guangzhou healthy residents which brings into line with the research, record sits age, the course of an illness, the blood pressure graduation, according to Chinese medicine dialectical minute: Divides into the anger abundant card, the Yin deficient positive card, the phlegm wet instructs the abundant card, the masculine and feminine elements two empty cards. Uses Topcon Corporation picture processing software, brings into line with in patient's colored eye ground picture to 61examples the retina central to move the vein the 2nd branch (On temple! Under the temple! On nose! Under the nose) in the laser disk reason Ipdblood vessel transverse diameter carries on the survey, the computation moves ratio of the vein, carries on the statistics.Result:1. in normal group, age only to retina nose on vein and the ratio of vein and artery caliber influential, but in the hypertension group, Age to the artery calibers, vein calibers and the ratio of vein and artery are influential, except the vein under temple, under the nose the vein2. works as when the age is same, between the hypertension group's and the normal group's, the calibers of retinas blood vessel and ratio of vein and artery are still to have the remarkable difference, This explained in the influence factors of the retina blood vessel caliber, the age was not the only factor.3. blood pressure graduation to artery caliber and the ratioof vein and he artery in various quadrants are influential, but to various quadrants vein caliber non- influence. The influence of 1 level of blood pressure to the artery caliber and the ratio of vein and artery is in a big way, next is 2 levels of blood pressure, but 3 levels of influences is smallest.4. The different Chinese medicine dialectical to the ratio of vein and the artery are influential but to the retina artery, the vein caliber does not have the influence. Among the influence of" the anger of Yin abundant" to the ratio of vein and artery is in a big way, but the influence of" the masculine and feminine elements two empty" is lightest5. The age and the blood pressure separately with the retina various quadrants artery caliber and ratio of vein andthe artery are to assume negative correlation ((P＜0.05); Traditional medicine dialectical and ratio of vein and the artery in the retina various quadrants are to assume negative correlation, but the relevance is not big.Conclusion: The age, the blood pressure and the different Chinese medicine dialectical are influential to the retina blood vessel caliber and(or) ratio of vein and the artery; When the age factor and the blood pressure factor simultaneously exists, the influence can be more obvious, in particular to the artery caliber influence; The blood pressure control is stable or not have no influence to the retina blood vessel caliber and ratio of vein and the artery.In this research surveys, Artery, vein and ratio of vein and the artery, the hypertension group has as precisely compared with the normal group, Artery, ratio of vein and the artery, vein of its patient obviously to reduce. Therefore, artery vessel caliber of the retina blood comparing with the vein for the hypertension early time diagnosis and the treatment objective target method is feasible. Hoping to promote in clinic in further.