| 引用本文:张莹1，苏敬泽1，高铸烨2，李庆祥3，陈立新4.心肌梗死PCI术后患者焦虑抑郁状态的中医证候分布特点研究[J].世界中医药,2015,10(06):. |
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| 心肌梗死PCI术后患者焦虑抑郁状态的中医证候分布特点研究 |
| Analysis of the Distribution of TCM Syndromes of Anxiety and Depression in Patients with Myocardial Infarction after PCI |
| 投稿时间：2015-03-26 |
| DOI：10.3969/j.issn.1673-7202.2015.06.034 |
| 中文关键词: 心肌梗死 焦虑 抑郁 证候要素 |
| English Keywords:Myocardial infarction Anxiety Depression TCM syndrome |
| 基金项目:北京市西城区可持续发展计划项目(编号:SD2012-09);北京市宣武中医医院院长基金资助 |
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| 中文摘要: |
| 目的:探讨心肌梗死患者PCI术后焦虑抑郁的中医证候特点。方法:438例心肌梗死的患者进行焦虑自评量表(SAS)、抑郁自评量表(SDS)检测,采集患者信息,采用SPSS 15.0软件对数据进行分析。结果:焦虑和(或)抑郁状态发生率为24.4%(107/438)。焦虑和(或)抑郁状态患者证候要素分布依次为血瘀(84例,78.50%)、气虚(69例,64.49%)、阴虚(51例,47.66%)、痰浊(43例,40.19%)、气滞(38例,35.51%)、阳虚(27例,25.23%)、寒凝(14例,13.08%)。存在焦虑和(或)抑郁状态患者较不存在者多见气滞证(P=0.002)。焦虑和(或)抑郁状态组患者中医主症计分及胸闷症状计分较非焦虑和(或)抑郁状态组患者高,差异有统计学意义。结论:无论是否存在焦虑和(或)抑郁状态,血瘀证均是主要证候要素,气滞是存在焦虑和(或)抑郁状态患者的重要证候要素。 |
| English Summary: |
| To investigate the distribution of TCM Syndromes of anxiety and depression in myocardial infarction after PCI. Methods: A total of 438 patients with myocardial infarction were assessed by Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS). The information of patients were collected and then statistically analyzed by SPSS15.0. Results: Among 438 recruited patients, 107 (24.4%) had anxiety with or without depression. The distribution of TCM syndromes of myocardial infarction with anxiety and depression was as follows: blood stasis (84 cases, 78.5%), Qi deficiency (69 cases, 64.49%), Yin deficiency (51 cases, 47.66%), phlegm (43 cases, 40.19%), Qi stagnation (38 cases, 35.51%), Yang deficiency (27 cases, 25.23%), Cold coagulation(14 cases, 13.08%). The syndrome of Qi stagnation was more common seen in myocardial infarction with anxiety and depression than patients without such syndromes (P＝0.002). TCM symptom score and stuffiness chest score were higher in patients with anxiety or depression than the others. Conclusion: Stasis syndrome is the main syndrome of myocardial infarction with or without anxiety and depression. The syndrome of Qi stagnation was an obvious syndrome of patients with anxiety and depression. |
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