CAJ | 학술논문

目的：通过临床调查研究，探讨老年抑郁症与中医体质的关系。方法对符合纳入标准的566名老年抑郁症患者的证型情况进行归纳、评分，并按《中医体质分类与判定》标准判定这些患者的体质类型，分析老年抑郁症患者最常见的体质类型；用判别分析、因子分析等方法对数据进行处理，总结出老年抑郁症证候规律；用线性回归分析老年抑郁症患者证候类型与体质的相关性，并通过频数分析总结出各体质类型常见的证候要素和复合证型。结果老年患者体质类型的出现率分别是气虚质、阴虚质、阳虚质；对老年抑郁症证型分析结果显示，肝肾阴虚证、肝郁脾虚证是老年抑郁症的常见证候。结论老年抑郁症与患者体质有密切关系，气虚质、阴虚质是老年抑郁症患者的重要致病特质。
목적：통과림상조사연구，탐토노년억욱증여중의체질적관계。방법대부합납입표준적566명노년억욱증환자적증형정황진행귀납、평분，병안《중의체질분류여판정》표준판정저사환자적체질류형，분석노년억욱증환자최상견적체질류형；용판별분석、인자분석등방법대수거진행처리，총결출노년억욱증증후규률；용선성회귀분석노년억욱증환자증후류형여체질적상관성，병통과빈수분석총결출각체질류형상견적증후요소화복합증형。결과노년환자체질류형적출현솔분별시기허질、음허질、양허질；대노년억욱증증형분석결과현시，간신음허증、간욱비허증시노년억욱증적상견증후。결론노년억욱증여환자체질유밀절관계，기허질、음허질시노년억욱증환자적중요치병특질。
Objective To investigate the relationship between the senile depression and constitution of tra -ditionalChinesemedicine.Methods 566elderlypatientswithdepressionsyndromeswhomeettheinclusioncriteria were summarized and graded in according to the "TCM constitution classification and judgment"standard physical type in these patients were determined, the most common physical type of elderly patients with depression was identi -fied;geriatric depression syndromes rules were summed with methods discriminant analysis , factor analysis;the cor-relation between elderly patients with depression syndromes and physique was analyzed by linear regression and the various physical types of common certificate were analyzed and summarized by frequency designate elements and com -plex syndromes .Results The frequency of occurrence for physical type of elderly patients was qi deficiency , yin deficiency and yang quality.Geriatric depression syndromes analysis showed that syndrome of yin deficiency of liver and kidney and stagnation of liver qi and spleen deficiency is a common syndrome of depression in elderly .Conclu-sion There is a close relationship between in elderly patients with depression and constitution .Qi deficiency and Yin deficiency is an important pathogenic characteristics of elderly patients with depression .