CAJ | 학술논문

目的：探讨多囊卵巢综合征（ P COS ）与输卵管阻塞患者心理健康状况的差别及两者间中医证型分布有无不同。方法：采用“症状自评量表”（ SCL-90）、汉密尔顿抑郁量表（ HAMD）、汉密尔顿抑郁量表（ HAMA）对93例PCOS和89例输卵管阻塞女性不育患者进行心理测评。中医辨证两组间按肾阴虚、肾阳虚、痰湿、血瘀不同分布进行比较。结果：SCL-90其他项目因子分经统计学处理两组患者间差异不显著，但PCOS患者强迫因子分高于输卵管阻塞患者，出现轻度强迫症状的比例较输卵管阻塞患者为多，具有显著统计学差异（ P＜0．05）；而抑郁因子分则输卵管阻塞患者显著高于多囊卵巢综合征患者（ P＜0．01），HAMD检测提示输卵管阻塞患者出现严重抑郁者多于多囊卵巢综合征患者（ P＜0．05）。而中医证型分布中PCOS肾阴虚证及血瘀证较多见；具体分型以肾阴虚兼痰瘀证和肾阴虚兼血瘀证多于输卵管阻塞患者组。结论：PCOS与输卵管阻塞患者心理障碍各具特点，具有生殖内分泌异常的PCOS患者心理障碍异于输卵管阻塞患者，以强迫症状多见，而中医辨证肾阴虚证及血瘀证较多。
목적：탐토다낭란소종합정（ P COS ）여수란관조새환자심리건강상황적차별급량자간중의증형분포유무불동。방법：채용“증상자평량표”（ SCL-90）、한밀이돈억욱량표（ HAMD）、한밀이돈억욱량표（ HAMA）대93례PCOS화89례수란관조새녀성불육환자진행심리측평。중의변증량조간안신음허、신양허、담습、혈어불동분포진행비교。결과：SCL-90기타항목인자분경통계학처리량조환자간차이불현저，단PCOS환자강박인자분고우수란관조새환자，출현경도강박증상적비례교수란관조새환자위다，구유현저통계학차이（ P＜0．05）；이억욱인자분칙수란관조새환자현저고우다낭란소종합정환자（ P＜0．01），HAMD검측제시수란관조새환자출현엄중억욱자다우다낭란소종합정환자（ P＜0．05）。이중의증형분포중PCOS신음허증급혈어증교다견；구체분형이신음허겸담어증화신음허겸혈어증다우수란관조새환자조。결론：PCOS여수란관조새환자심리장애각구특점，구유생식내분비이상적PCOS환자심리장애이우수란관조새환자，이강박증상다견，이중의변증신음허증급혈어증교다。
Objective:To investigate whether the mental health status and TCM syndrome type distribu-tion are different between the patients with polycystic ovary syndrome ( PCOS) and with oviduct obstructive . Method:Using “SCL-90”, HAMD and HAMA to evaluate psychological stauus for blocking female infertile patients.Among them 93 cases were of PCOS and 89 cases were of oviduct obstructive .TCM syndrome differ-entiation were compared between the two groups according to the deficiency of kidney yin , kidney yang defi-ciency, and phlegm, blood stasis of different distributions .Result:Other projects in SCL-90 were not sig-nificantly different , but the forcing factors and the mild obsessive-compulsive symptoms proportion of the P-COS group were much higher than the tubal obstruction group (P<0.05).What’s more, the HAMD detec-tion prompts that fallopian tube obstruction patients got a higher percentage to have serious depression than those patients with PCOS ( P<0.05) .The PCOS kidney yin deficiency and blood stasis were more common TCM syndrome type distribution .Specifically , the kidney yin deficiency and stagnation of phlegm and blood stasis and kidney deficiency and blood stasis in PCOS patients group were higher than the oviduct obstructive group.Conclusion:PCOS and oviduct obstruction patients have different metal disorder characteristics .P-COS patients , with reproductive endocrine abnormalities , have a higher tendency to obsessive-compulsive symptoms.Kidney yin deficiency and blood stasis syndrome are more common in PCOS patients according to TCM syndrome differentiation .