功能性消化不良中医证型与心理因素的相关性研究
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Correlation between TCM Pattern of Functional Dyspepsia and Psychological Factors
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    摘要:

    目的:探讨功能性消化不良中医证型与心理因素的相关性。方法:按照流行病学调查方法,随机抽取297例诊断为功能性消化不良(FD)的患者作为研究对象进行心理测评,并进行中医证型调查,研究各证型分布特点,以及抑郁自评量表(SDS)、焦虑自评量表(SAS)评分差异。结果: 1)中医证型分布以脾虚气滞证比例最高(32.3%); 2)中医各证型心理异常比例:合并抑郁状态以肝气郁结证比例最高(62.5%),合并焦虑状态以肝气犯胃证比例最高(35.8%),而湿热滞胃证合并抑郁状态及焦虑状态比例均最低,各证型合并抑郁、焦虑状态均占相当比例; 3)中医各证型与功能性消化不良症状谱比较:餐后饱胀感以脾胃气虚证及脾虚气滞证多见,早饱在脾胃气虚证最为显著,上腹痛以肝气郁结证、脾胃气虚证多见,上腹烧灼感在湿热滞胃证中最为显著; 4)中医各证型SDS、SAS量表评分比较:SDS评分以肝气郁结证最高,SAS评分以肝气犯胃证最高,而湿热滞胃证在两个自评量表中评分均最低。结论:功能性消化不良各中医证型分布及心理测评结果差异明显,病机虚实夹杂,病情与肝、脾两脏关系密切。

    Abstract:

    To investigate the correlation between TCM Pattern of functional dyspepsia and psychological factors.Methods:According to epidemiologic investigation method, 297 patients were selected randomly, subject to psychological evaluation, TCM pattern identification, scoring using SDS and SAS.Results:1) Pattern of spleen deficiency and qi stagnation was most common(32.3%); 2) depression was often seen with liver qi depression (62.5%), while anxiety with liver-qi-invading-stomach (35.8%). Depression and anxiety were comparatively less seen in dampness-heat stagnating-stomach; 3) Post-prandial fullness was common with spleen-stomach qi deficiency and spleen-deficiency qi-stagnation, early satiation with spleen-stomach qi deficiency, upper abdominal pain in liver qi depression and spleen-stomach qi deficiency, upper abdominal burning sensation in dampness-heat stagnating-stomach group; 4) SDS score was highest with liver qi depression group, while SAS score was highest in liver-qi-invading-stomach group. Lowest scores appeared with dampness-heat-stagnating-stomach group. Conclusion:Patients of functional dyspepsia have varied and significant differences in TCM pattern and psychological status, mechanisms of which are deficiency-excess complicated and closely related to liver and spleen.

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黄铭涵,黄健,陈琴,林平.功能性消化不良中医证型与心理因素的相关性研究[J].世界中医药,2010,5(6).

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  • 收稿日期:2010-01-26
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  • 在线发布日期: 2012-10-24
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