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不同证型勃起功能障碍患者人格特征分析

Personality characteristics of erectile dysfunction patients with different traditional Chinese medicine syndromes
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摘要 目的:探讨人格特征和男性勃起功能障碍(ED)患者中医证型的相关性。方法:入组97例ED患者的一般人口学资料,基于中医证型分为肝郁不舒证、恐惧伤肾证、命门火衰证、心脾两虚证、湿热下注证、阴虚火旺证、血脉瘀滞证,采用艾森克人格问卷(EPQ)分析患者的人格类型,分析病例组与文献报道的全国常模组EPQ量表的差异。结果:病例组与常模在神经质N维度[(11.97±5.58)分vs(4.61±2.93)分,P<0.01]和内外向E维度[(10.06±3.66)分vs(7.38±2.85)分,P<0.01]存在显著性差异。不同人格类型ED患者在中医证型分布上有差异(P<0.01),胆汁质、抑郁质与肝郁不舒证相关(P<0.01)。结论:传统祖国医学的中医辨证与人格特征存在内在联系,将中医辨证与人格特征相结合可能成为临床上ED分型的可行手段。 Objective:To explore the correlation between personality characteristics and traditional Chinese medicine(TCM)syndromes in ED patients.Methods:We collected the general demographic data from 97 ED patients with different types of TCM syndromes,including the syndromes of liver-qi depression,fear-induced kidney injury,vital gate fire declination,heart and spleen de-ficiency,downward diffusion of damp-heat,yin-deficiency and fire-hyperactivity,and blood vessel stasis and obstruction.Using the Eysenck Personality Questionnaire(EPQ),we analyzed the personality types of the patients by comparing their EPQ scores with those of the adult males in the national norm group.Results:Statistically significant differences were found between the ED patients and the males in the national norm group in the EPQ scores on neuroticism(11.97±5.58 vs 4.61±2.93,P<0.01)and extraver-sion-introversion(10.06±3.66 vs 7.38±2.85,P<0.01).Different personality types were significantly associated with the TCM syndrome types of the ED patients(P<0.01),choleric temperament and melancholic temperament correlated with the syndrome of liver-qi depression(P<0.01),and sanguine temperament with that of fear-induced kidney injury(P<0.01).Conclusion:TCM syndrome differentiation has underlying correlations with personality characteristics.It is clinically feasible to divide ED into more subtypes based on correlation of the TCM syndrome differentiation with personality characteristics of the patient.
作者 曹静 戴丽琴 陈建淮 徐琰 CAO Jing;DAI Li-qin;CHEN Jian-huai;XU Yan(Department of Andrology,Jiangsu Provincial Hospital of Chinese Medicine/The Affiliated Hospital of Nanjing Uni-versity of Chinese Medicine,Nanjing,Jiangsu 210029,China)
出处 《中华男科学杂志》 CAS CSCD 北大核心 2022年第6期529-533,共5页 National Journal of Andrology
关键词 勃起功能障碍 中医证型 艾森克人格 erectile dysfunction traditional Chinese medicine syndrome Eysenck personality
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