围绝经期焦虑情绪患者中医证候分布规律  

Distribution law of traditional Chinese medicine syndromes in perimenopausal anxiety patients

作　　者：冯晓玲[1] 吴怡 葛梦迪 王云瑞 张杨[1] FENG Xiaoling;WU Yi;GE Mengdi;WANG Yunrui;ZHANG Yang(First Affiliated Hospital,Heilongjiang University of Chinese Medicine,Harbin 150040,China;Heilongjiang University of Chinese Medicine,Harbin 150040,China)

机构地区：[1]黑龙江中医药大学附属第一医院,哈尔滨150040 [2]黑龙江中医药大学,哈尔滨150040

出　　处：《中华中医药杂志》2024年第6期3118-3122,共5页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金项目(No.81973894);国家中医药管理局标准化项目(No.GZY-FJS-2020-217);中国博士后科学基金(No.2019M661320)。

摘　　要：目的:探析围绝经期焦虑情绪患者的中医证候分布规律。方法:对2020年11月—2022年1月就诊于黑龙江中医药大学附属第一医院更年期特色门诊的患者进行问卷调查,包括一般情况调查表及焦虑自评量表(SAS)、社会支持评定量表(SSRS)、围绝经期中医症状及体征调查表,采用证型聚类分析、Kruskal-Wallis H检验、Pearson相关性分析等方法进行统计分析。结果:859例围绝经期女性中,焦虑情绪患者有513例,其中轻度焦虑占比最高为61.6%(316/513)。中医证候分布情况为肾虚肝郁型193例(37.6%)、肝郁化火型123例(24.0%)、心肾不交型112型(21.8%)、肝郁脾虚型85例(16.6%),其与不同程度焦虑评分之间的差异具有统计学意义(P<0.01)。结论:围绝经期女性常伴焦虑情绪,其主要证型为肾虚肝郁型和肝郁化火型。Objective:To explore the distribution law of traditional Chinese medicine(TCM) syndromes in perimenopausal anxiety patients.Methods:A questionnaire survey was conducted for patients who attended the menopausal characteristic outpatient clinic of the First Affiliated Hospital of Heilongjiang University of Chinese Medicine from November 2020 to January 2022,including the general condition questionnaire,anxiety self-rating scale(SAS),social support rating scale(SSRS),perimenopausal TCM symptoms and signs questionnaire,and statistical analysis was carried out by symptom cluster analysis,Kruskal-Wallis H test,Pearson correlation analysis and other methods.Results:Among the 859 perimenopausal women,513 patients were anxious,of which mild anxiety accounted for the highest proportion of 61.6%(316/513);The distribution of TCM symptoms was 193 cases(37.6%) of renal deficiency and liver depression type,123 cases(24.0%) of liver depression fire type,112 cases(21.8%) of heart and kidney incompatibility type,and 85 cases of liver and spleen deficiency(16.6%),which were statistically significant with different degrees of anxiety scores(P<0.01).Conclusion:Perimenopausal women are often accompanied by anxiety,and the main symptoms are renal deficiency and liver depression type.

关 键 词：围绝经期 焦虑情绪 中医证候分布 聚类分析 

分 类 号：R277.7[医药卫生—中医学]