38例肝气郁型抑郁症(轻、中度)的临床流行病学调查分析  

Clinical epidemiological investigation analysis on 38 mild and middle degree depression patients with syndrome of stagnation of liver qi

作　　者：关徐涛[1,2] 詹向红[2] 于华林 孙前明[2] 潘玉颖[2] 王慧霞[2] 武盼盼[2] 

机构地区：[1]山东中医药大学,济南250000 [2]河南中医学院,郑州450000 [3]莱芜市中医院,莱芜271100

出　　处：《中华中医药杂志》2015年第6期2058-2061,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家重点基础研究发展计划(973计划)(No.2011CB505102)~~

摘　　要：目的:探讨大学生肝气郁结型抑郁症的患病情况、男女性别比例以及抑郁自评量表(SDS)在筛选抑郁症时的准确率。方法:应用临床流行病学横断面调查法对河南中医学院2 300名大学生进行问卷调查,采用《疾病和有关健康问题的国际统计分类》第十次修订版(ICD-10)抑郁症的诊断标准和肝气郁证判断参考,同时由临床心理科两位副主任医师协诊筛选出肝气郁型抑郁症(轻、中度)大学生患者,对大学生患者的学院分布,男女比例分布,以及SDS的被选频率进行描述性分析。结果:SDS量表总粗分≥41分共筛查出326人。肝气郁结型轻、中度抑郁症患者38人。故本次2 260名大学生抑郁症的患病率为1.68%。抑郁症大学生男性明显小于女性,SDS中条目1明显高于其他条目;条目19明显低于其他条目。结论:大学生抑郁症患者女性明显高于男性,SDS量表是比较好的筛查工具,且抑郁症与肝主疏泄有密切关系,中医临床治疗抑郁症应从主疏泄调畅情志论治为宜。Objective： To study the prevalence, male/female ratio in depression college students with syndrome of stagnation of liver qi, and the accuracy rate of Self-Rating Depression Scale （SDS） used in depression screening. Methods： 2 300 college students in Henan University of Traditional Chinese Medicine were questionnaire surveyed by using clinical epidemiological cross-sectional survey method, and referred to the diagnostic criteria of depression and criteria for judging of syndrome of stagnation of liver qi recorded in International Statistical Classification of Disease and Related Health Problems （ICD-10）. Meanwhile depression patients in college students with syndrome of stagnation of liver qi were screened out by two associate chief physicians of clinical psychology. The distribution, male/female ratio, and the selected frequency of SDS were descriptively analyzed. Results： 326 patients were screening out with SDS preliminary score≥41, and there were 38 mild and middle degree depression patients with syndrome of stagnation of liver qi. The prevalence rate of depression in 2 260 college students was 1.68%, and male patients were significantly less than female patients. The item 1 was significantly higher than other items, and item 19 was significantly lower than the other items in SDS. Conclusion： Female college students with depression are significantly higher than male, and SDS was a better screening tool for depression. The relationship between depression and theory of liver controlling conveyance and dispersion was close, therefore, treating depression with traditional Chinese medicine should be from perspective of regulating modem.

关 键 词：肝气郁 抑郁症 临床流行病学 抑郁自评量表 

分 类 号：R277.7[医药卫生—中医学]