轻中度卒中后抑郁患者中医体质分布规律研究  

Analysis on the distribution of traditional Chinese medicine constitution in patients with mild to moderate post-stroke depression

作　　者：李轶璠 魏柳倩 秦微[1] 赵永辰[1] 李德需[1] LI Yifan;WEI Liuqian;QIN Wei;ZHAO Yongchen;LI Dexu(Affliated Hospital of Hebei University,Baoding 071000,China;Hebei University,Baoding 071000,China)

机构地区：[1]河北大学附属医院,保定071000 [2]河北大学,保定071000

出　　处：《中华中医药杂志》2024年第8期4461-4463,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：河北省中医药管理局科技计划项目(No.2018146);保定市科技计划项目(No.18ZF049)。

摘　　要：目的:探讨轻中度卒中后抑郁(PSD)患者的中医体质分布特点。方法:筛选合格研究对象499例,根据汉密尔顿抑郁量表(HAMD)评分,分为轻度抑郁患者及中度抑郁患者,根据中医体质判定标准,进行数据统计和分析。结果:PSD轻度抑郁者以气郁质为主,其次为血瘀质、阴虚质、气虚质、痰湿质、阳虚质、湿热质、平和质、特禀质;PSD中度抑郁患者以血瘀质为主,其次为气虚质、气郁质、阴虚质、湿热质、痰湿质、阳虚质、平和质、特禀质。且轻中度抑郁患者均以复合体质多见。结论:轻度抑郁者以气郁质为主,中度抑郁患者以血瘀质为主,且中度PSD患者以复合体质多见。Objective:To investigate the distribution characteristics of traditional Chinese medicine(TCM)constitution in patients with post-stroke depression(PSD).Methods:A total of 499 eligible subjects were screened,and all subjects were divided into mild depression patients and moderate depression patients according to the HAMD score according to TCM constitution assessment criteria,conduct data were statistics and analysis.Results:Mild depression was mainly caused by qi stagnation,followed by blood stasis,yin deficiency,qi deficiency,phlegm and dampness,yang deficiency,damp and heat,peace and quality,and sputum.Patients with moderate depression were mainly blood stasis,followed by qi deficiency,qi stagnation,yin deficiency,damp and heat,phlegm and dampness,yang deficiency,peace and quality,and sputum.Patients with mild to moderate depression were more common with complex constitution.Conclution:Light depression is mainly qi stagnation.Patients with moderate depression are mainly blood stasis,moderate depression are more common with complex constitution.

关 键 词：轻中度 卒中后抑郁 中医体质 分布规律 

分 类 号：R277.7[医药卫生—中医学]