关于抑郁症辨证分型及常见症状的第1轮专家问卷分析  

Analysis of the first-turn questionnaires on tcm syndrome classification and symptoms of depression abstract

作　　者：李涛[1] 梅妍[1] 张鑫[1] 魏慧军[1] 汪卫东[1] 

机构地区：[1]中国中医科学院广安门医院,北京100053

出　　处：《中医药导报》2011年第11期1-2,6,共3页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家科技重大专项重大新药创新项目(2010ZX09102-215)"温胆宁心治疗精神性疾病--睡眠障碍的临床前研究"

摘　　要：目的:从专家经验角度探索抑郁症常见中医证候类型及症状表现。方法:根据文献资料及前期抑郁症患者中医证候调查结果,通过德尔菲法编制抑郁症常见中医诊治专家问卷,向全国范围内遴选出的75位专家发放问卷调查,对所得数据进行积极度、集中程度、协调程度、权威程度的统计与评价。结果:第一轮问卷回收率93.3%;9个抑郁症证型中,重要性较高的条目为6项,占调查指标的66.7%,20个抑郁症症状表现中,重要性较高的条目共13项,占总条目的65.0%;变异系数小于0.25的证型为8项,症状表现为9项;专家权威程度平均值为0.82。结论:肝郁气滞证、肝郁痰阻证、肝郁脾虚证、肝郁化火证为抑郁症的常见中医证型,常见症状有:情绪抑郁、善悲易哭、表情沮丧、善太息、身倦、焦虑、神思迟钝、嗜卧少动、烦躁、纳呆、健忘、胸闷及心悸。。To explore the TCM syndrome classification and symptoms of depression from the point of view of experts＇ experience.Methods The questionnaire on the TCM syndromes of depression,which was made based on the literature consultation and questionnaire survey with Delphi method,were distributed to 75 experts selected from the whole country.The data was analyzed for the mathematical statistics and evaluation of positive degree,concentrative degree,coordination degree,and authority degree.Results The return-ration of first turn questionnaire was 93.30%.of the 9 syndromes,the important ones were 6,occupying 66.67% of the investigation indices.Of the 20 depression symptoms,the important ones were 13,occupying 65.00%.The variation coefficient of 8 syndromes was smaller than 0.25;symptoms were 9.The mean value of expert authority degree was 0.82.Conclusion The commonly seen syndromes of depression are liver qi stagnation,liver qi and phlegm stagnation,liver qi stagnation and splenasthenic syndrome,pathogenic fire from liver qi stagnation.

关 键 词：抑郁症 德尔菲法 专家问卷 证型分析 

分 类 号：R256.4[医药卫生—中医内科学]