中年女性轻度焦虑抑郁障碍共病的中医证候分布研究

Study on the distribution of TCM syndromes in middle-aged women with mild comorbid anxiety and depression disorder

目的:探讨中年女性轻度焦虑抑郁障碍共病的中医证候分布,为辨证论治提供更全面的依据。方法:本研究采用横断面方法,收集2018年3月-2019年3月在山西省中医院脑病科住院及门诊就诊的中年女性轻度焦虑抑郁障碍共病患者的一般情况、信息调查表(包括四诊信息、舌脉象、焦虑抑郁量表),通过因子分析,获取各因子的相应条目,结合本科室主任及副主任意见,分析公因子之间的相关性,得出中医证候分布规律。结果:最终提取得到6个证型,依次为阴虚火旺(30.4%)、肝郁脾虚型(26.6%)、痰热扰神型(18.7%)、肝气郁滞型(13%)、心脾两虚型(6.5%)、气滞血瘀型(3.8%)。结论:中年女性轻度焦虑抑郁障碍共病的中医证候分布研究中以阴虚火旺证比例最高,涉及的主要脏腑是肝,病性主要以阴虚、肝郁为主。

Objective:To explore the distribution of TCM syndromes in middle-aged women with mild comorbid anxiety and depression disorder,so as to provide more comprehensive basis for syndrome differentiation and treatment. Methods:From March 2018 to March 2019,the general situation and information questionnaire(including four diagnosis information,tongue pulse picture,anxiety and depression scale)of cases were collected by cross-section method. The corresponding items of each factor were obtained by factor analysis,combined with the opinions of the director and deputy director of the department.The correlation between common factors was analyzed,and the distribution of TCM syndromes was obtained.Results:Six syndrome types were obtained,which were Yin deficiency and fire prosperity(30.4%),liver stagnation and spleen deficiency type(26.6%),phlegm-heat disturbance type(18.7%),liver-qi stagnation type(13%),deficiency of heart and spleen type(6.5%),Qi stagnation and blood stasis type(3.8%). Conclusion:The study showed that the proportion of yin deficiency and fire prosperity syndrome in mild comorbid anxiety and depression disorder in middle-aged women,is the highest. The main viscera involved is liver,and the nature of disease is mainly yin deficiency and liver depression.