冠心病焦虑抑郁与中医体质相关性研究  

Study on the Correlation between Anxiety and Depression of Coronary Heart Disease and Constitution of Traditional Chinese Medicine

作　　者：赵刘乐[1] 常宁[1] 刘小彦 王灵君[1] 乔德峰 ZHAO Liule;CHANG Ning;LIU Xiaoyan;WANG Lingjun;QIAO Defeng(Shijiazhuang No.8 Hospital,Shijiazhuang 050081,Hebei,China)

机构地区：[1]石家庄市第八医院,河北石家庄050081

出　　处：《辽宁中医药大学学报》2020年第5期59-62,共4页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：河北省中医药管理局科研计划项目(2018267)。

摘　　要：目的探究冠心病焦虑抑郁与中医体质的相关性。方法选取2017年4月—2018年12月收治的冠心病患者160例,对160例冠心病的心理状况患者进行评分,并采用王琦体质分型法将患者进行分类,分析冠心病患者焦虑、抑郁状态与中医体质的相关性。结果160例冠心病患者气虚质占29.38%,其次为血瘀质、痰湿质、湿热质、阳虚质等,前四种体质总数共131例,占81.88%;气虚质、气郁质、血瘀质和痰湿质的SAS评分均显著高于阳虚质、阴虚质和特禀质患者(P<0.05),气虚质、湿热质、血瘀质和气郁质的SDS评分均显著高于阳虚质、阴虚质和特禀质患者(P<0.05);年龄≥65岁冠心病患者SAS、SDS评分显著高于<65岁患者(P<0.05);经过Logistic回归分析,气虚质、气郁质及≥65岁为冠心病患者抑郁情绪的独立危险因素(P<0.05),气虚质、湿热质、气郁质及≥65岁为冠心病患者焦虑情绪的独立危险因素(P<0.05)。结论冠心病患者焦虑抑郁与气虚、气郁、湿热体质有密切关系,且老年患者更易出现焦虑抑郁情绪,在冠心病的诊治过程中应特别注意这些中医体质的患者,防止其出现焦虑抑郁情绪,从而影响患者的治疗与恢复。Objective To explore the correlation between anxiety and depression of coronary heart disease and constitution of traditional Chinese medicine.Methods 160 patients with coronary heart disease admitted to our hospital from April 2017 to December 2018 were selected.160 patients with coronary heart disease were scored.The patients were classified by WANG Qi's physique classification method.The correlation between anxiety and depression state of patients with coronary heart disease and constitution of traditional Chinese medicine was analyzed.Results Among 160 patients with coronary heart disease,Qi deficiency was 29.38%,next were blood stasis,phlegm-dampness,damp-heat and Yang deficiency,The total number of the first four constitutions was 131,accounting for 81.88%.SAS scores of Qi deficiency,Qi depression,blood stasis and phlegm-dampness were significantly higher than those of Yang deficiency,Yin deficiency and special temperament(P<0.05),Qi deficiency,damp-heat temperament and Qi depression.SDS scores of temperament and Qi depression were significantly higher than those of Yang deficiency,SAS deficiency and special temperament(P<0.05);SDS scores of patients aged over 65 years old with coronary heart disease was significantly higher than that of patients aged<65 years old(P<0.05);by Logistic regression analysis,Qi deficiency、Qi depression and over 65 years of age were independent risk factors for depression in patients with coronary heart disease(P<0.05),and Qi deficiency was an independent risk factor for depression in patients with coronary heart disease(P<0.05).Deficiency,damp-heat,Qi depression and over 65 years of age were independent risk factors of anxiety in patients with coronary heart disease(P<0.05).Conclusion Anxiety and depression in patients with coronary heart disease are closely related to the constitution of Qi deficiency,Qi depression and damp-heat,and elderly patients are more likely to suffer from anxiety and depression.In the process of diagnosis and treatment of coronary heart disease,specia

关 键 词：冠心病 焦虑抑郁 中医体质 相关性 

分 类 号：R259[医药卫生—中西医结合]