中西医结合研究
中西醫結閤研究
중서의결합연구
RESEARCH OF INTEGRATED TRADITIONAL CHINESE AND WESTERN MEDICINE
2015年
2期
66-68,71
,共4页
肠易激综合征%焦虑%抑郁%中医证候
腸易激綜閤徵%焦慮%抑鬱%中醫證候
장역격종합정%초필%억욱%중의증후
irritable bowel syndrome%anxiety%depression%TCM syndrome
目的：探讨肠易激综合征（IBS ）中医辨证分型与患者焦虑、抑郁情绪的关系，为 IBS 的辨证论证提供客观化依据。方法搜集114例IBS患者的四诊信息并辨证分型，采用焦虑自评量表（SAS）和抑郁自评量表（SDS）评价患者的焦虑、抑郁状况，行简单对应分析。结果 IBS的不同中医证型所表现的焦虑、抑郁心理存在差异。肝郁气滞证的点集合与焦虑、抑郁点集合的距离最近，肝郁脾虚证的点集合与焦虑并抑郁点集合的距离最近，脾胃虚弱证、脾虚湿盛证和脾肾阳虚证的点集合与无焦虑抑郁点集合的距离最近。结论 IB S的肝郁气滞证和肝郁脾虚证患者具有明显的焦虑抑郁情绪，这对 IB S 中医辨证分型有一定提示作用。
目的：探討腸易激綜閤徵（IBS ）中醫辨證分型與患者焦慮、抑鬱情緒的關繫，為 IBS 的辨證論證提供客觀化依據。方法搜集114例IBS患者的四診信息併辨證分型，採用焦慮自評量錶（SAS）和抑鬱自評量錶（SDS）評價患者的焦慮、抑鬱狀況，行簡單對應分析。結果 IBS的不同中醫證型所錶現的焦慮、抑鬱心理存在差異。肝鬱氣滯證的點集閤與焦慮、抑鬱點集閤的距離最近，肝鬱脾虛證的點集閤與焦慮併抑鬱點集閤的距離最近，脾胃虛弱證、脾虛濕盛證和脾腎暘虛證的點集閤與無焦慮抑鬱點集閤的距離最近。結論 IB S的肝鬱氣滯證和肝鬱脾虛證患者具有明顯的焦慮抑鬱情緒，這對 IB S 中醫辨證分型有一定提示作用。
목적：탐토장역격종합정（IBS ）중의변증분형여환자초필、억욱정서적관계，위 IBS 적변증론증제공객관화의거。방법수집114례IBS환자적사진신식병변증분형，채용초필자평량표（SAS）화억욱자평량표（SDS）평개환자적초필、억욱상황，행간단대응분석。결과 IBS적불동중의증형소표현적초필、억욱심리존재차이。간욱기체증적점집합여초필、억욱점집합적거리최근，간욱비허증적점집합여초필병억욱점집합적거리최근，비위허약증、비허습성증화비신양허증적점집합여무초필억욱점집합적거리최근。결론 IB S적간욱기체증화간욱비허증환자구유명현적초필억욱정서，저대 IB S 중의변증분형유일정제시작용。
Objective To investigate the relationship between TCM syndrome differentiation of irritable bowel syndrome(IBS)and patients'anxiety and depression ,and provide objective evidence for the dialectical argument on IBS.Methods The information of 114 cases of patients with IBS was collected and their TCM syndrome differenti‐ation was obtained by the four methods of diagnosis. The anxiety and depression condition of the patients was eval‐uated by using self‐rating anxiety scale(SAS)and self‐rating depression scale(SDS). The simple correspondence a‐nalysis to these two sets of data was performed.Results There were differences between the different TCM syn‐drome types of IBS in anxiety and depression. The distance between multipoint of the liver‐depression and Qi‐stag‐nation syndrome and the anxiety and depression is the nearest. T he distance betw een multipoint of the liver‐depres‐sion and spleen‐deficiency syndrome and the anxiety with depression is the nearest. Furthermore ,the distance be‐tw een multipoint of the w eakness of spleen and stomach syndrome ,damp abundance due to splenic asthenia and in‐sufficiency of both the spleen and the kidney and the non‐anxiety and non‐depression is the nearest.Conclusion It suggests that IBS patients with the liver‐depression and Qi‐stagnation syndrome or the liver‐depression and spleen‐deficiency syndrome have obvious anxiety and depression w hich may have a role in prompting TCM syndrome dif‐ferentiation.
