肝脾不和型功能性消化不良伴焦虑抑郁状态与“心”虚证候相关性研究  

Correlativity between functional dyspepsia with anxiety and depression of liver-spleen disharmony and heart deficiency pattern

作　　者：李勇[1] 王鹤潼[1] 谭文婧[1] 王健[1] 汤健[1] 

机构地区：[1]上海中医药大学附属市中医医院消化科,上海200071

出　　处：《上海中医药杂志》2012年第5期12-14,共3页Shanghai Journal of Traditional Chinese Medicine

基　　金：上海市自然科学基金资助项目(09ZR1429700);上海市教委科研创新基金资助项目(09YZ134);上海市卫生局中医药科研基金资助项目(2010L038A)

摘　　要：目的研究伴有焦虑抑郁状态的肝脾不和型功能性消化不良(FD)患者的心虚证候特点。方法采用问卷调查方法分析100例患者焦虑抑郁水平、脾胃症状评分、生活质量水平与心虚证候的相关性。结果肝脾不和型FD伴焦虑抑郁状态患者普遍存在心虚证候表现,其中以心阴虚和心阳虚证候频数较多(分别为47%和24%);心虚证与脾胃症状评分、HAMA评分存在一定相关性。结论肝脾不和型功能性消化不良伴焦虑抑郁状态广泛存在"心"虚证候,提示临床辨治应兼治心。Objective To study the correlativity between functional dyspepsia with anxiety and depression of liver-spleen disharmony and heart deficiency pattern.Methods The questionnaire was surveyed in 100 subjects to analyze the correlativity between heart deficiency pattern and anxiety and depression,spleen-stomach symptom score and life quality.Results All 100 subjects underwent heart-deficiency pattern,heart-yin deficiency and heart-yang deficiency patterns in particular,accounting for 47% and 24% respectively;heart-deficiency pattern is correlative to spleen-stomach symptom score and HAMA.Conclusion Functional dyspepsia with anxiety and depression of liver-spleen disharmony is often associated with heart deficiency pattern,indicating that its clinical treatment should involve the heart.

关 键 词：功能性消化不良 焦虑抑郁状态 肝脾不和 心虚证候 HAMA HAMD 

分 类 号：R259[医药卫生—中西医结合]