成年癫痫患者体质类型与抑郁状况的相关性探析

Research on the correlation of depression and constitution in adult patients with epilepsy

目的:研究成年癫痫患者中医体质类型与抑郁状况的相关性,为临床尽早调整体质偏颇防治癫痫患者并发抑郁提供理论依据。方法:对209例成年癫痫患者进行横断面现场调查,填写中医体质调查表及汉密尔顿抑郁量表,采用Logistic回归分析探讨二者的相关性。结果:汉密尔顿抑郁量表评分>8分组与≤8分组体质分布不同,其中气虚质、气郁质与抑郁的发生有关(P<0.01),气郁质是非气郁质患者伴发抑郁的4.068倍,气虚质是非气虚质的5.549倍。结论:成年癫痫患者气虚、气郁体质更易出现抑郁状况。

Objective： Study the relationship between constitution in Chinese medicine and depression in adult patients with epilepsy, to provide a reference for adjusting biased constitution and treating depression. Methods： 209 adult patients with epilepsy were surveyed with cross-section locale investigation by filling the forms of constitution in Chinese medicine questionnaire （CCMQ） and Hamilton Depression Scale （HAMD）. The Logistic regression analysis was used to explore their relationship. Results： The patients were divided into two groups （HAMD score〉8 points and HAMD score 8 points）, and the distributions of constitution were different, qi depression type and qi deficiency type were related to depression. The oceurrenee of qi depression was 4.068 times of the non qi depression, qi deficiency was 5.549 times of the non qi deficiency. Conclusion： Qi depression and qi deficiency constitution are prone to depression in adult patients with epilepsy.