《肠易激综合征中医证候与焦虑、抑郁情绪的关系研究》.pdf

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1、．66·生亘匡笪金巫壅生旦箜!鲞笙塑丝丝堂!丝星堡WesternMedicine2015AprilVo1．7No．2doi：10．3969／j．issn．1674—4616．2015．02．004肠易激综合征中医证候与焦虑、抑郁情绪的关系研究宋素华宋彬彬漯河市第三人民医院，河南漯河462000摘要目的探讨肠易激综合征(IBS)中医辨证分型与患者焦虑、抑郁情绪的关系，为IBS的辨证论证提供客观化依据。方法搜集114例IBS患者的四诊信息并辨证分型，采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评价患者的焦虑、抑郁状况，行简单对应分析。结果IBS的不同中医证型所表现的焦虑、抑郁心

2、理存在差异。肝郁气滞证的点集合与焦虑、抑郁点集合的距离最近，肝郁脾虚证的点集合与焦虑并抑郁点集合的距离最近，脾胃虚弱证、脾虚湿盛证和脾肾阳虚证的点集合与无焦虑抑郁点集合的距离最遁。结论IBS的肝郁气滞证和肝郁脾虚证患者具有明显的焦虑抑郁情绪，这对IBS中医辨证分型有一定提示作用。关键词肠易激综合征}焦虑I抑郁；中医证候TheResearchontheRelationshipBetweenTCMSyndromeofIrritableBowelSyndromeandAnxietyandDepressionSONGSuhua，SONGBinbinThe8rdpeople'sHospit

3、alofLuoheCity，HenanLuohe462000，ChinaAbstractObjectiveToinvestigatetherelationshipbetweenTCMsyndromedifferentiationofirritablebowelsyndrome(IBS)andpatients"anxietyanddepression，andprovideobjectiveevidenceforthedialecticalargumentonIBS．MethodsTheinform~tionof114casesofpatientswithIBSwascollecte

4、dandtheirTCMsyndromedifferenti—ationwasobtainedbythefourmethodsofdiagnosis．Theanxietyanddepressionconditionofthepatientswaseval—uatedbyusingself—ratinganxietyscale(SAS)andself—ratingdepressionseale(SDS)．Thesimplecorrespondencea—nalysistothesetwosetsofdatawasperformed．ResultsThereweredifferenc

5、esbetweenthedifferentTCMsyn—drometypesofIBSinanxietyanddepression．Thedistancebetweenmultipointoftheliver—depressionandQi—stag—nationsyndromeandtheanxietyanddepressionisthenearest．Thedistancebetweenmultipointoftheliver—depres—sionandspleen—deficiencysyndromeandtheanxietywithdepressionisthenear

6、est．Furthermore，thedistancebe—tweenmultipointoftheweaknessofspleenandstomachsyndrome，dampabundanceduetosplenicastheniaandin—sufficiencyofboththespleenandthekidneyandthenon—anxietyandnon—depressionisthenearest．ConclusionItsuggeststhatIBSpatientswiththeliver——depressionandQi——stagnationsyndrome

7、ortheliver—-depressionandspleen—deficiencysyndromehaveobviousanxietyanddepressionwhichmayhavearoleinpromptingTCMsyndromedif—ferentiation．Keywordsirritablebowelsyndrome}anxiety；depression；TCMsyndrome肠易激综合征(irritablebowelsyndrome，IBS)是功能紊乱等，但迄今