男性情志问题与肝的相关性研究

Correlation between Emotional Problems and Liver in Men

目的:通过调查男性人群生活习惯、抑郁情绪、焦虑情绪、自尊水平等,分析男性情志问题与肝的关系,为制定男性情志问题干预策略提供依据。方法:共纳入2023年3—5月符合标准的男238例,通过问卷调查方式采集基本信息、中医肝脏象情绪量表、自尊量表等资料。结果:基本信息显示,调查对象以中青年男性为主,超重及肥胖者占59.7%,喜咸、喜辛辣和喜炙烤者偏多,47.1%有胃肠问题,17.6%有心脏问题,47.9%有睡眠问题,42.9%的男性基本不运动,男性疾病情况显示前列腺炎者14.3%、前列腺增生者4.6%、早泄者10.1%。中医肝脏象情绪量表总分异常者有169例(71.0%),抑郁情绪异常者173例(72.7%),焦虑情绪异常者152例(63.9%),肝经证候异常者134例(56.3%)。在年龄、寒热、喜咸、喜炙烤、睡眠、运动、心脏问题、胃肠问题、前列腺炎、前列腺增生、阳痿等维度,中医肝脏象情绪量表得分差异有统计学意义(P<0.05);抑郁情绪、焦虑情绪与肝经证候因子正相关;自尊水平与中医肝脏象情绪量表总分、抑郁情绪、焦虑情绪、肝经证候因子负相关。结论:男性情志问题与肝的关系密切,调节男性情志应以改善生活习惯、疏肝解郁为主要方法。

Objective:This study aimed to analyze the relationship between men′s emotional problems and liver by investigating the living habits,depression,anxiety,and self-esteem level of male population and to provide a basis for formulating strategies of intervention in men′s emotional problems.Methods:A total of 238 males who met the criteria from March to May 2023 were included,and basic information,emotion rating scale for Ganzangxiang of traditional Chinese medicine(TCM),self-esteem scale,and other data were collected through questionnaire survey.Results:The basic information shows that the survey subjects were mainly young and middle-aged men,59.7%of whom were overweight and obese,and a preference was revealed for salty,spicy,and roasted food.In addition,of the subjects,47.1%suffered from gastrointestinal problems,17.6%from heart problems,and 47.9%from sleep problems.Almost no exercise was found in 42.9%of the subjects.In terms of male diseases,those with prostatitis,prostatic hyperplasia,and premature ejaculation accounted for and 14.3%,4.6%,and 10.1%,respectively.There were 169 patients(71.0%)with abnormal total scores of emotion rating scale for Ganzangxiang of TCM,173 patients(72.7%)with abnormal depression,152 patients(63.9%)with abnormal anxiety,and 134 patients(56.3%)with abnormal liver meridian syndrome.There were statistically significant differences in the scores of age,cold and heat,preference for salty food,preference for roasted food,sleep,exercise,heart problems,gastrointestinal problems,prostatitis,prostatic hyperplasia,and impotence in the emotion rating scale for Ganzangxiang of TCM(P<0.05).Depression and anxiety were positively correlated with liver meridian syndrome factors,and the self-esteem level was negatively correlated with the total score of the emotion rating scale for Ganzangxiang of TCM,depression,anxiety,and liver meridian syndrome factors.Conclusion:Men′s emotional problems are closely related to liver function.The main methods to regulate men′s emotions should be to improve living habits,soothe liver,and relieve depression.