CAJ | 학술논문

目的：为了验证“肝能助土疏运”中医理论，调查分析不良情绪与脾胃疾病临床症状的相关性，为临床用疏肝法治疗脾胃疾病提供依据。方法参考国际焦虑自评量表（SAS）、抑郁自评量表（SDS），收集相关不良情绪信息；参考《中药新药临床研究指导原则》《中医内科学》等收集脾胃病临床常见症状信息并分级计分；设计调查问卷，选择脾胃病、非脾胃病患者发放调查问卷，收集信息录入数据库，运用 SPSS 软件分析各组患者两类信息相关性。结果①2组数据中脾胃症状评分（PW）与不良情绪评分（QZ）数值均呈正态分布。2组数据中的脾胃症状评分数值，脾胃病组明显高于对照组（P ＜0．05～0．01）；不良情绪评分数值，脾胃组问题评分均分多数高于对照组（P ＜0．05～0．01）。②散点图显示：脾胃组坐标点较为密集；对照组分布松散。③运用二因素相关性分析中 Pearson 相关系数及其显著性检验，脾胃病组脾胃症状评分与不良情绪评分相关系数 R ＝0．459， P ＜0．05；对照组 R ＝0．326，P ＜0．05。结论脾胃症状的轻重与不良情绪评分密切相关。
목적：위료험증“간능조토소운”중의이론，조사분석불량정서여비위질병림상증상적상관성，위림상용소간법치료비위질병제공의거。방법삼고국제초필자평량표（SAS）、억욱자평량표（SDS），수집상관불량정서신식；삼고《중약신약림상연구지도원칙》《중의내과학》등수집비위병림상상견증상신식병분급계분；설계조사문권，선택비위병、비비위병환자발방조사문권，수집신식록입수거고，운용 SPSS 연건분석각조환자량류신식상관성。결과①2조수거중비위증상평분（PW）여불량정서평분（QZ）수치균정정태분포。2조수거중적비위증상평분수치，비위병조명현고우대조조（P ＜0．05～0．01）；불량정서평분수치，비위조문제평분균분다수고우대조조（P ＜0．05～0．01）。②산점도현시：비위조좌표점교위밀집；대조조분포송산。③운용이인소상관성분석중 Pearson 상관계수급기현저성검험，비위병조비위증상평분여불량정서평분상관계수 R ＝0．459， P ＜0．05；대조조 R ＝0．326，P ＜0．05。결론비위증상적경중여불량정서평분밀절상관。
OBJECTIVE To verify the TCM theory that the liver assists in digestive function of spleen and stomach and pro-vide the evidence for treating spleen and stomach disease by soothing the liver,this research analyzes the correlation between negative emotions and clinical symptoms of spleen and stomach disease.METHODS Firstly,the information referring to SAS and SDS was gathered;Secondly,the information of common clinical symptoms of spleen and stomach disease was collected re-ferring to the Guiding Principle of Clinical Study on New Drug of TCM and Internal Medicine of TCM,and scores were classi-fied;Finally,the designed questionnaires were issued to the patients with and without spleen and stomach disease,then the in-formation was recorded into the database and the correlation was analyzed by SPSS.RESULTS ①Spleen and stomach symp-tom scores(PW) and negative emotions scores (QZ) presented normal distributions in both two groups.PW and QZ in the group of patients with the disease were higher than the control group(P <0.05~0.01).The average scores of problems in the group of patients with the disease were mostly higher compared with the control group(P <0.05~0.01).②The scatter plot showed that the coordinate points were intensive in the group of patients with the disease but loose in the other group.③The a-nalysis of Pearson correlation coefficient and significance testings showed that R =0.459,P <0.05 in the observation group and R =0.326,P <0.05 in the control group.CONCLUSION The degree of the spleen and stomach disease symptoms is closely related to the negative emotions scores.