82例乳腺癌术后患者中医证候与焦虑抑郁的分析  

Analysis about traditional Chinese medicine syndrome and anxiety depression of postoperative breast cancer patients

作　　者：柴妮[1] 朱惠蓉[1] 程悦蕾[1] 何丽美[1] 

机构地区：[1]上海中医药大学附属曙光医院肿瘤科,上海201203

出　　处：《河北中医》2015年第3期335-337,378,共4页Hebei Journal of Traditional Chinese Medicine

基　　金：上海市卫生局中医药科研基金课题(编号:2012QL013A);上海市重点学科(第三期)建设项目(编号:S30302)

摘　　要：目的观察乳腺癌术后患者的中医证候表现特点及心理状态。方法对82例乳腺癌术后患者采用自制中医证候量表采集患者的四诊信息,采用焦虑自评量表(SAS)及抑郁自评量表(SDS)进行心理评估,并用统计学方法分析中医症状与焦虑抑郁之间的联系。结果最常见局部症状为术口麻木(42.68%)及患侧上肢麻木(39.02%);最常见的全身症状为易醒(50.00%)、潮热(43.90%)及多思多虑(40.24%)。乳腺癌术后患者SDS评分与正常人群比较差异有统计学意义(P<0.05),乳腺癌术后患者上肢肿胀、失眠及胁肋不舒3个中医症状与患者SDS评分相关,多梦症状与SAS评分相关。结论抑郁是乳腺癌术后患者较易出现的心理状态。Objective To analyze the performance characteristics and of postoperative breast cancer patients. Methods The four method information of diagnosis from 82 postoperative breast cancer patients was col- lected by self - made traditional Chinese medicine syndrome scale. The psychological state was evaluated by SAS and SDS. The relationship between traditional Chinese medicine syndrome and anxiety depression were analyzed by statis- tical method. Results The most common local symptoms were the wound edges numb （42.68%） and affected side upper }imb numb （39.02%）. The most common constitutional symptoms were restless sleep （50.00%） , hot flash （43.90%） and hypochondriasis （40.24%）. There was significant difference between postoperative breast cancer patients and normal population on SDS score （ P 〈 0.05 ）. Upper limb swelling, insomnia and uncomfortable lateral thorax of postoperative breast cancer patients associated with SDS score. Many dreams symptoms associated with SAS scores. Conclusion Depression is a mental state of the postoperative breast cancer patients.

关 键 词：乳腺肿瘤 手术后期间 证候 焦虑 抑郁 

分 类 号：R737.9[医药卫生—肿瘤] R749.72[医药卫生—临床医学]