慢乙肝与肺结核患者抑郁特征及中医病机对照探讨  

The Dicussion of Depression Characteristiscs and the TCM Syndrome Characteristics of the Chronic HBV Infection Patients and Patients with Tuberculosis

作　　者：马原[1] 任路[1] 韩裕隆 谷忠悦[1] 

机构地区：[1]辽宁中医药大学针灸推拿学院,辽宁沈阳110847

出　　处：《辽宁中医药大学学报》2015年第3期65-67,共3页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：辽宁省自然科学基金项目(2013020179);辽宁省教育厅科学技术研究项目(L2011161);辽宁省大学生创新创业项目(201310162001)

摘　　要：目的:探索躯体疾病伴发抑郁时应用HAMD抑郁量表指导中医脏腑经络辨证的可行性。方法:对慢乙肝与肺结核住院患者HAMD-24抑郁量表抑郁典型症状分布、单项症状均值进行比较研究,总结各自的抑郁特征,并依据中医学七情与五脏的生理关系进行对照分析。结果:慢乙肝抑郁典型症状11个,其中抑郁情绪、精神性焦虑具有肝在志为怒的辨证基础;肺结核抑郁典型症状5个,其中绝望感与肺在志为悲的理论相吻合。结论:慢乙肝和肺结核患者HAMD-24抑郁量表评价的典型症状体现了中医肝脏、肺脏的病理生理特点,具备指导中医情志病辨证量化研究的基础。Objective：To explore the feasibility of TCM meridians syndrome differentiation with the the guidance of HAMD Depression Scale. Methods：Chronic HBV infection in hospitalized patients with tuberculosis typical symptoms of depression HAMD depression scale distribution,mean individual symptom frequency was compared,summerize the depression characteristiscs,and to do the comparative analysis according to the 7 emotions and the 5 organs. Results：There were 11 typical symptoms in chronic HBV infection patients. Depression,anxiety were accordence with the mental foundation of liver syndrome of anger. There were 5 typical symptoms in tuberculosis patients,despair and grief lungs were accordence with the mental foundation of lung syndrome of grief. Conclusion：Patients with chronic hepatitis B and tuberculosis have the typical syndrome characteristics of HAMD-24 scale,reflecting the traditional Chinese medicine in liver,lung pathology physiological characteristics,with the guidance of TCM syndrome differentiation.

关 键 词：慢乙肝 肺结核 HAMD抑郁量表 情志病 

分 类 号：R512.62[医药卫生—内科学]