更年期女性中医体质与焦虑、抑郁的相关性研究

A Study on Relationship between TCM Constitution and Anxiety and Depression in Climacteric Women

目的:了解更年期综合征患者焦虑、抑郁身心状态与中医体质的关系。方法:将763例更年期女性分为更年期综合征患者组580例及无更年期综合征患者组183例(以下简称更年期组、无更年期组),应用《中医体质的分类与判定》量表作为评判标准,进行中医体质类型调查及焦虑抑郁状况调查。结果:(1)更年期综合征妇女焦虑患者中以阳虚质、阴虚质及气郁质所占比例居多;logistic多元回归分析显示9种体质中阳虚质、气郁质是影响更年期综合症焦虑发病的主要体质,平和质为其保护体质。(2)更年期综合征妇女抑郁患者中以阳虚质、阴虚质及气郁质为主;logistic回归分析显示9种体质中气郁质是影响更年期综合症抑郁发病的主要体质。结论:更年期综合征妇女焦虑、抑郁体质分布以阳虚质、阴虚质及气郁质为主;阳虚质、气郁质是影响更年期综合症焦虑发病的主要相关体质,平和质为其保护体质;气郁质是影响更年期综合症抑郁发病的主要相关体质。

Objective： To investigate the relationship between anxiety and depressive psychosomatic state of the patients with climacteric syndrome and TCM constitution. Methods： 763 cases of menopausal women were divided into a climacteric syndrome group with 580 patients and a non-climacteric syndrome group with 183 cases of patients. Took Classification and judgment of TCM Constitution as the standard to carry out the investigations of TCM constitution and the condition of anxiety and depression. Results： 1. There was a large proportion of patients with menopausal syndrome suffering from Yang deficiency, Yin deficiency and qi constraint. Logistic multivariate regression analysis showed that Yang deficiency and qi constraints were the main physical constitutions affecting anxiety in climacteric syndrome among 9 kinds of constitutions and the calm constitution was its protective constitution. 2. Yang deficiency, Yin deficiency and qi constraint took the main part in patients with menopausal syndrome suffered from depression. Logistic regression analysis showed that qi constraints was the main physical factor affecting the depression in menopausal syndrome among 9 kinds of constitutions. Conclusion： Anxiety and depression in patients with climacteric syndrome were mainly cause by Yang deficiency, Yin deficiency and qi constraint. Yang deficiency and qi constraints were the main constitutions which may cause anxiety in menopausal syndrome, while calm constitution served as its protective constitution. Qi constraint was the main factor affecting the depression in climacteric syndrome.