血管性抑郁症的证候分布规律研究

Traditional Chinese Medicine Syndrome Distribution Rules and Empirical Study of Vascular Depression

目的:对血管性抑郁症的常见中医证候分布倾向进行研究,并探讨各证候与高血压病、高脂血症、糖尿病、冠心病等病史的相关性。方法:通过调查血管性抑郁患者70例,按症状的不同程度评分,统计血管性抑郁症的各种症状及证候出现的频率和积分,并进行比较分析,同时采用统计软件SPSS对血管性抑郁症证候与其危险因素的相关性进行相关分析研究。结果:血管性抑郁症以肝肾阴虚证(30%)最多;男性患者以肝肾阴虚证最多,女性患者以气郁寒凝证最多。经统计学分析,X2=9.371,P>0.05,说明男性与女性在证型上无差异;肝肾阴虚证和瘀热互结证与高脂血症史之间存在相关性。结论:血管性抑郁症以肝肾阴虚证最多,且肝肾阴虚证和瘀热互结证与高脂血症史之间存在相关性。

This study was aimed to summarize the common traditional Chinese medicine（TCM） tendency of vascular depression and also explore the correlation of various TCM syndromes of vascular depression with the disease history of hypertension,hyperlipidemia,diabetes,coronary heart disease and etc.A total of 70 vascular depression patients were investigated in the research of clinical TCM syndrome.According to the grading of symptoms in different degrees,the frequency and integral of each occurred symptom and syndrome were statistically analyzed.Comparative analysis was conducted.The SPSS statistical software was used in the relevance study between TCM syndrome of vascular depression and its risk factors.The results showed that liver-kidney yin deficiency（Gan-Shen-Yin-Xu） is the most common TCM syndrome in vascular depression（30%）.Most male patients are liver-kidney yin deficiency and most female patients are qi-cold stagnation（Qi-Yu-Han-Ning）.The statistical analysis,X2=9.371,P0.05,showed there was differences in TCM syndrome between male and female.Liver-kidney yin deficiency and stagnation-heat combination（Yu-Re-Hu-Jie） are correlated with the disease history of hyperlipidemia.It is concluded that liver-kidney yin deficiency is the most common TCM syndrome in vascular depression.There is correlation between the TCM syndrome of liver-kidney yin deficiency and stagnation-heat combination with hyperlipidemia.