盆腔瘀血综合征患者的心理状态个性特征与中医证候相关性的研究

Relationship of Mental Status, Personality Characteristics and TCM Syndromes of Pelvic Congestion Syndrome

目的:探讨盆腔静脉瘀血综合征(PCS)不同证型患者与其个性特征、心理状态的相关性。方法:运用现代医学心理学测试量表(EPQ和SCL-90),中医证候诊断问卷对110名盆腔静脉瘀血综合征患者进行调查分析。结果:盆腔静脉瘀血综合征患者的E分及N分均明显高于常模,气质类型则以胆汁质、抑郁质为多见(占73.63%),而气虚血瘀气质类型多表现为抑郁质,而气滞血瘀和湿热瘀血则更多表现为胆汁质。在心理状态方面,盆腔静脉瘀血综合征胆汁质、抑郁质患者在抑郁、焦虑、强迫方面积分明显高于常模和黏液质、多血质,且不同文化程度间又表现出不同的特点。结论:气虚血瘀、气滞血瘀、湿热瘀血盆腔静脉瘀血综合征等证候表现至少部分地是由心理因素所引起的心身反应或心身紊乱,初步显示了中医证候类型与个性特征、异常心理状态之间的某些相关性,提示特定的气质类型、情志因素与脏腑之间可能具有内在联系。

Objective ： To investigate the relationship of mental status. Personality characteristics and TCM syndromes of pelvic congestion syndrome （PCS）.Methods：Symptom Checklist 90,Measure of Mental Health, Eysenck Personality Questionnaire and Diagnostic Questionnaire of TCM syndromes were adopted. Results：In patients with PCS, Patients with melancholic temperament tended to manifest as the syndromes of qi-deficiency causing blood stasis, and choleric temperament tend to manifest as qi-stagnation causing blood stasis and damp-heat causing blood stasis.Conclusion：The syndromes of qi-deficiency causing blood stasis,qi-stagnation causing blood stasis,damp-heat causing blood stasis at least partially reflect the psychosomatic reaction or psychosomatic disorder included by mental factors. TCM syndromes have a relationship with mental status and personality characteristics. The nature of heir relationship needs to be studied further .