特发性面神经麻痹发病及中医证型与患者抑郁状态的相关性研究

发布时间：2018-02-13 02:10

本文关键词： 特发性面神经麻痹中医证型抑郁状态相关性　出处：《山东中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:对150例特发性面神经麻痹患者进行临床流行病学调查研究,旨在探讨该病的发病、中医证型与抑郁状态的相关性,为临床治疗该病提供理论指导。方法:根据流行病学调查方法随机选取150例特发性面神经麻痹患者,收集患者基本信息及相关中医症状信息,并进行汉密尔顿抑郁量表测试,如实填写生活事件量表,从150例患者中得到121例抑郁状态基础上发生的特发性面神经麻痹患者。归纳该121例患者的一般资料及测试结果,将所得结果运用SPSS17.0进行因子统计分析,归纳出特发性面神经麻痹的发病、相关影响因素、中医证型以及中医证型与抑郁状态的相关性。结果:1.患者在发病前存在不同程度的负性事件的不良精神刺激,存在情绪沮丧,兴趣减退,精力下降,食欲减退,思维缓慢,社交障碍以及睡眠障碍等症状,与本病的发生有一定的相关性。2.根据因子分析所得到的4个公因子,将抑郁状态基础上发生的特发性面神经麻痹归纳为四个中医症候群。3.不同性别、职业及文化程度患者的抑郁程度具有差异性,但是其关联性并不高;不同病程和年龄段之间患者的抑郁程度无显著性的差异。结论:1.通过本课题研究发现,抑郁状态基础上发生的的特发性面神经麻痹患者与职业、性别及文化程度等因素具有一定的关系。同时,女性、文化程度高、脑力劳动者的特发性面神经麻痹患者抑郁程度相对较重。2.特发性面神经麻痹患者的发病与抑郁状态密切相关。3.抑郁状态基础上发病的特发性面神经麻痹患者中医证型主要有四类:风寒侵袭证、外感风热证、痰湿内盛证、瘀血阻络证,其中风寒侵袭证与抑郁状态的相关程度最高。
[Abstract]:Objective: 150 cases of patients with idiopathic facial paralysis by clinical epidemiological investigation and research, to explore the pathogenesis of the disease and the relationship between TCM syndrome and depression, and provide theoretical guidance for clinical treatment of the disease. Methods: according to the epidemiological investigation method of randomly selected 150 patients with idiopathic facial nerve paralysis patients were collected, basic information and related information of TCM symptoms, and Hamilton depression scale test, fill in the life events scale, from patients with idiopathic facial nerve paralysis occurred in 121 cases of depression on the basis of from 150 patients. Summed up the general data and test results of the 121 patients, the results using SPSS17.0 statistical factor the analysis, summarized the pathogenesis of idiopathic facial paralysis, related factors, the correlation between TCM Syndrome Types and TCM syndrome and depression. Results: of the 1. patients before the onset. In the spirit of adverse negative events in different degrees of stimulation, there is depressed, appetite, energy loss, loss of appetite, slow thinking, social disorder and symptoms of sleep disorders, there are 4 factors.2. correlation obtained according to the factor analysis and the occurrence of this disease, depression will occur on the basis of idiopathic facial paralysis is divided into four TCM syndrome.3. in different gender, occupation and the degree of depression of patients with cultural differences, but its relevance is not high; the difference between the different course of disease and age of patients with depression history is no significant. Conclusion: 1. this study found that the in patients with idiopathic facial palsy and occupation depression based on the factors of gender and educational level has a certain relationship. At the same time, female, high education level, brainworkers idiopathic facial paralysis patients The degree of depression is relatively heavy.2. idiopathic facial nerve paralysis and the incidence of depression in patients with.3. is closely related to the depression on the basis of the pathogenesis of idiopathic facial nerve paralysis in patients with TCM syndrome type mainly has four kinds: cold invasion, external wind heat syndrome, phlegm syndrome, blood stasis syndrome, which is related to the degree of cold invasion syndrome and depression.

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

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