脑卒中后抑郁症患者中医体质类型分布特点分析

Analysis on Distribution Characteristics of TCM Constitution Types in Post Stroke Depression Patients

目的：探讨脑卒中后抑郁症患者中医体质特点。方法：入选500例脑卒中后抑郁症患者予以中医体质辨识。结果：脑卒中后抑郁症患者主要以气郁质为主,且有统计学意义。女性患者脑卒中后抑郁体质依次为气郁质〉血瘀质〉阴虚质〉气虚质〉痰湿质〉湿热质〉阳虚质〉平和质。男性患者也是以气郁质最多见,其次是血瘀质、气虚质、阴虚质、湿热质、痰湿质、阳虚质……、平和质。45-55岁和56-65岁以气郁质多见,66-75岁以血瘀质最多见。脑卒中后抑郁以轻度抑郁为主,轻度抑郁患者中以气虚、气郁体质多见,中度抑郁患者以气虚和血瘀体质多见,重度抑郁患者以气郁质多见。结论：气郁体质患者更易发生脑卒中后抑郁症,有必要对这类患者予以及早干预。

Objective： To explore the distribution characteristics of TCM constitution types in post stroke depression patients. Methods： 500 Cases with post stroke depression were chosen to differentiate the TCM constitution types. Results： Qi stagnation constitution was the most common- seen in the post stroke depression patients,the differences were statistical significance. In female patients,the constitution showed qi stagnation blood stasis yin deficiency qi deficiency phlegm- dampness damp- heat yang deficiency pinghe types. The qi stagnation constitution was also the most common- seen in male patients,than was blood stasis,qi deficiency,yin deficiency,damp- heat,phlegm- dampness,yang deficiency and pinghe types. Qi stagnation constitution was the most common- seen at the age 45 - 55 and 56 - 65 years old,blood constitution was the most common- seen at the age of 66 - 75 years old. Post stroke depression mainly showed mild depression,qi deficiency and qi stagnation constitution were the common- seen,moderate depression mainly showed qi deficiency and blood stasis constitution,severe depression mainly showed stagnation constitution. Conclusion： Patients of qi stagnation constitution were liability to post stroke depression,early intervention was necessary for post stroke depression patients.