基于中医体质学说探讨体质与抑郁症的相关性

发布时间：2018-01-12 02:22

本文关键词：基于中医体质学说探讨体质与抑郁症的相关性　出处：《南京中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的：本课题旨在从中医角度,评估、分析普通人群及抑郁症患者的体质类型,为早期干预该体质类型的抑郁症提供理论依据。方法：连续纳入2015年4月到2016年1月期间南通市中医院心理科门诊抑郁症患者96例作为观察组,同期选取该院健康体检人群106例作为对照组。收集2组一般资料(包括性别、年龄、学历、经济状况),同时对2组人群进行中医体质判定。用多因素logistic回归调查抑郁症的危险因素。结果：年龄：抑郁症组年龄显著高于对照组(50.5±18.5 vs 43.2±15.6岁,P=0.003)。学历：在抑郁症组中,低学历患者占62.5%、中等学历患者27.1%、高学历患者占10.4%。在正常对照组中依次为26.4%、42.5%和31.1%。两组学历差异有统计学意义(P0.001)。经济：抑郁症组经济拮据者占46.9%、经济一般者占39.6%、经济富余者占13.5%。在正常对照组中依次为29.2%、41.5%和29.2%。两组经济差异有统计学意义(P=0.007)。九种体质的分布：在抑郁症组中,体质分布频率从高到低排序依次是：气郁质39.6%、气虚质19.8%、阳虚质18.8%、平和质5.2%、湿热质4.2%、血瘀质4.2%、痰湿质3.1%、特禀质3.1%、阴虚质2.1%。在正常对照组中,体质分布频率从高到低排序依次是：平和质53.8%、阳虚质10.4%、痰湿质8.5%、湿热质5.7%、血瘀质4.7%、特禀质4.7%、气郁质4.7%、气虚质3.8%、阴虚质3.8%。抑郁症组气郁、气虚型体质比率均显著高于对照组(P0.001),而平和体质比率显著低于对照组(P0.001)。多因素回归分析结果示：年龄(OR=1.044,95%CI 1.022.1.067,P0.001).低学历(OR=3.133,95%CI 1.565.6.270,P:0.001)及气郁型体质(OR=3.411,95%CI 1.808.6.437,P0.001).气虚型体质(OR:1.061,95%CI 1.229-6.791,P=0.015)为抑郁症的危险因素,而平和型体质为抑郁症的保护因素(OR= 0.252,95%CI 0.074-0.861,P=0.028).结论：高龄、低学历、拮据经济和气郁体质为抑郁症危险因素。气郁质、气虚质更容易患严重抑郁症。
[Abstract]:Objective : To provide a theoretical basis for the early intervention of the constitution type of depression in the general population and depression patients from the perspective of Chinese medicine . Methods : In the period from April 2015 to January 2016 , 96 patients with depression were selected as control group . In the normal control group , the physical distribution frequency of the patients in the depression group was 46.9 % , the vital essence was 4 . 8 % , the phlegm - wet mass was 4 . 5 % , the damp - heat quality was 4 . 7 % , the blood stasis was 4 . 7 % , the intrinsic quality was 4 . 7 % , the damp - heat quality was 4 . 7 % , the deficiency of qi deficiency was 3 . 8 % , the yin deficiency was 3 . 8 % . Age ( OR = 1.044 , 95 % CI 1.022 . 1.067 , P0.001 ) . Low education degree ( OR = 3.133 , 95 % CI 1.565.6 . 270 , P : 0.001 ) and qi stagnation type constitution ( OR = 3.411 , 95 % CI 1.808 . 6.437 , P0.001 ) . Qi deficiency type constitution ( OR : 1.061 , 95 % CI 1.229 - 6.791 , P = 0.015 ) was the risk factor of depression , while the level and type constitution were the protective factors of depression ( OR = 0.252 , 95 % CI 0.074 - 0.861 , P = 0.028 ) . Conclusion : Old age , low educational background , economy and qi stagnation are the risk factors of depression . Qi depression and qi deficiency are more likely to suffer from severe depression .

【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R277.7

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