Clinical Research On Syndrome Features And Dialectical Typing Of Rhegmatogenous Retinal Detachment In Perioperative Period

ObjectivesAccording to different clinical manifestations and pathogenesis, retinal detachment can be divided into rhegmatogenous retinal detachment (also known as retinal detachment), traction retinal detachment and exudative retinal detachment. Rhegmatogenous retinal detachment is the most common type of retinal detachment, it’s seriously harm to the vision, if the treatment is not timely or impropriety treatment, and patients will be blind and the ocular will be atrophy. In some patients after surgery, the recurrence of retinal detachment still appears, and patients after multiple operations still can not restore visual function. Therefore, to enhance prevention research and perioperative treatment study on rhegmatogenous retinal detachment is one of the hottest issues the retinal surgery workers are very concerned about.MethodsBy using cluster analysis method, and refering to 《Quantitative diagnosis of TCM syndrome》,《Experimental analysis of the TCM diagnosis》 and 《TCM clinical diagnostic term-Syndrome section》, establish the case observation and information collection form, and do the statistical descriptive analysis, cluster analysis, the syndrome factor analysis. Summed up the syndrome characteristics of the rhegmatogenous retinal detachment perioperative by using IT and integrated approach, and summed up the common TCM syndrome types.ResultThis subject collects98cases of rhegmatogenous retinal detachment. After using cluster analysis, in the preoperative period the syndrome types we summed up are dampness stagnancy due to spleen deficiency (39.80%), Damp-Heat syndrome (26.53%), blood stasis due to dual vacuity qi and yin(21.43%), intermingled phlegm and blood stasis (4.08%).In the postoperative period, syndrome types are divided into wind-heat of liver channel syndrome(41.84%), hyperactivity of hepatobiliary fire (25.51%), stagnation of qi and blood stasis (19.39%), deficiency of qi and blood (13.27%). There was no correlation between each syndrome type and factors such as age and gender. There is a statistical relationship between the course of disease and syndrome types. Evolution of the preoperative and postoperative syndrome type:In the preoperative period, intermingled deficiency and excess types are common; and deficiency types are common in the postoperative period.ConclusionIn the preoperative the syndrome types we summed up are dampness stagnancy due to spleen deficiency, Damp-Heat syndrome, blood stasis due to dual vacuity qi and yin, etc. In the postoperative period, syndrome types are divided into wind-heat of liver channel syndrome, hyperactivity of hepatobiliary fire, stagnation of qi and blood stasis and deficiency of qi and blood. Surgical trauma is the key factor in the change of syndrome types and syndromes in the perioperative period. Syndromes in the preoperative period are mainly related to dampness pathogen, phlegm and static blood. Syndrome types mostly are intermingled deficiency and excess types. Syndrome types in the postoperative period are mainly related to wind pathogen, fire pathogen and static blood. Syndrome types mostly are deficiency types.