神经症患者4种中医肝证的情绪状态测量及特征分析  

Assessment and analysis of emotion state of four liver syndromes of traditional Chinese medicine in neurosis patients

作　　者：尤劲松[1] 胡随瑜[1] 张宏耕[2] 

机构地区：[1]中南大学湘雅医院中西医结合研究所,湖南省长沙市410008 [2]湖南省脑科医院神经症科,湖南省长沙市410007

出　　处：《中国临床康复》2004年第24期5058-5059,共2页Chinese Journal of Clinical Rehabilitation

基　　金：国家自然科学基金资助项目(30070953)~~

摘　　要：目的探讨神经症患者常见4种中医肝病证候的情绪特征。方法按病证结合的原则制定纳入标准选择研究对象作为神经症组。按与患者组性别、年龄大致相当的条件选取本校、本院无精神疾病及重大躯体疾病学生职工做为健康人对照组。采用中医肝脏象情绪量表及Beck焦虑量表、Beck抑郁量表对各组进行情绪测量。结果①神经症患者中医肝脏象情绪量表,Beck焦虑量表、Beck抑郁量表测值各项积分均明显高于健康人对照组(t'=10.60～14.82,P<0.01),但4种亚型各项积分差异无明显性意义(F=3.250～2.332,P>0.05)。②中医证型之间比较,中医肝脏象情绪量表肝经维度积分在肝阳上亢证和肝火上炎证明显高于肝气虚证(P<0.01);焦虑维度及Beck焦虑量表积分,肝火上炎证最高[(21.6±5.17)分、(53.5±10.8)分],肝气虚证最低[(17.8±6.57)分、(46.2±12.26)分]。③郁维度及Beck抑郁量表积分,肝气郁结证明显高于肝阳上亢证(F=6.601～4.221,P<0.01或P<0.05)。结论神经症患者各亚型都同时存在明显的焦虑、抑郁情绪状态。4种肝证之间在焦虑方面无明显差别,而肝气郁结证患者的抑郁程度要高于肝阳上亢证。AIM:To explore the emotional characteristics of 4 liver syndromes of traditional Chinese medicine(TCM) in patients with neurosis.METHODS:The patients were selected by considering not only their western medicine diagnosis but also their TCM diagnosis(neurosis group).Healthy students and workers without mental diseases and severe physical disease were selected as the control group according to the age and sex of the patients in the neurosis group.Their emotion states were assessed with emotions rating scale for ganzang xiang of traditional Chinese medicine(ERSG),Beck anxiety inventory(BAI) and Beck depression inventory(BDI).RESULTS:①The scores of ERSG,BAI and BDI in the neurosis group were significantly higher than those in the healthy control group(t=10.60-14.82,P< 0.01),but there was no obvious difference in the four subtypes of neurosis(F=3.250-2.332,P >0.05).②The scores of ganjing dimension in ERSG were obviously higher in patients with hyperhepatic yang syndrome and hyperpyrexia of liver syndrome than those with deficiency of hepatic qi syndrome(P< 0.01).The scores of anxiety dimension in ERSG and BAI were similar in patients with four liver syndromes,and the score of hyperpyrexia of liver syndrome was the highest(21.6±5.17,53.5±10.8),while that of deficiency of hepatic qi syndrome was the lowest(17.8±6.57,46.2±12.26).The scores of depression dimension in ERSG and BAI were significantly higher in patients with hepatic depression syndrome than that with hyperhepatic yang syndrome(F=6.601-4.221,P< 0.01,P< 0.05).CONCLUSION:Neurosis patients all have significant anxiety and depression characteristics,but there is no significant difference in the anxiety among patients with four subtypes of neurosis.The patients with hepatic depression syndrome manifest higher depression level than those with hyperhepatic yang syndrome.

关 键 词：神经症 中医 测量 情绪特征 焦虑 抑郁 肝证 

分 类 号：R277.797[医药卫生—中医学] R256.4