冠心病伴焦虑、抑郁状态及其中医证型的相关研究

发布时间：2018-04-30 22:08

本文选题：冠心病 + 焦虑状态　；参考：《成都中医药大学》2016年硕士论文

【摘要】：目的:分析引发冠心病伴情绪障碍的影响因素；观察冠心病合并焦虑、抑郁状态在中医证候中的分布情况。帮助临床医生甄别冠心病患者易伴发焦虑、抑郁症状的高危影响因素,寻找其合并情绪障碍在中医证型中的分布规律。方法：收集自2014年8月至2015年12月成都中医药大学附属医院门诊随诊及住院部冠状动脉粥样硬化性心脏病患者260例,收集其一般资料(包括年龄、性别、文化程度、吸烟史等),性别不限,年龄在45岁、85岁之间,由副主任医师以上级别医师结合望、闻、问、切四诊合参法以及患者症状等进行中医辨证,分析冠心病患者不同中医证型分布规律特点；采用焦虑自评量表(SAS)及抑郁自评量表(SDS)进行评分并统计,分析冠心病合并焦虑和(或)抑郁患者的发病情况以及影响发病的相关因素,应用spss19.0统计软件进行统计分析(P0.05为有统计学意义)。结果：本研究调查患者共260例,调查中脱落患者6例,共收集254例,其中符合纳入标准的病例共计186例。被调查患者中,伴有焦虑抑郁状态患者共62人,占33.33%；其中只有焦虑症状的患者66人,占35.48%；只有抑郁状态患者58人,占31.18%。性别、文化水平、吸烟、高血压病、糖尿病可能增加了冠心病患者合并焦虑症状的风险；老年、女性及高文化水平的冠心病患者可能更易出现抑郁症状,合并有糖尿病的冠心病患者有获得抑郁症状的倾向。冠心病合并焦虑、抑郁症状者以气滞血瘀证、痰阻心脉证、气虚血瘀证、气阴两虚证患者居多。结论：四川省中医院冠心病患者合并有焦虑、抑郁症状中医证型主要集中分布在气滞血瘀、痰阻心脉、气虚血瘀、气阴两虚证,本虚标实证患者居多；年龄、性别、文化水平、吸烟、高血压病、糖尿病等是影响冠心病合并情绪障碍的高危影响因素。
[Abstract]:Objective: to analyze the influencing factors of coronary heart disease (CHD) with emotional disorder, and to observe the distribution of coronary heart disease (CHD) with anxiety and depression in TCM syndromes. To help clinicians to identify the high risk factors of anxiety and depression in patients with coronary heart disease and to find out the distribution of their emotional disorders in TCM syndromes. Methods: from August 2014 to December 2015, 260 patients with coronary atherosclerotic heart disease (CHD) in the hospital affiliated to Chengdu University of traditional Chinese Medicine (Chengdu University of traditional Chinese Medicine) were collected and their general data (including age, sex, education level) were collected. Smoking history and so on, gender is unlimited, the age is between 45 years old and 85 years old, by deputy chief physician above the rank doctor combine to look, smell, ask, cut four diagnoses and consult the method and the patient symptom and so on to carry on the traditional Chinese medicine differentiation. The distribution characteristics of different TCM syndromes in patients with coronary heart disease were analyzed. To analyze the incidence of coronary heart disease complicated with anxiety and / or depression and the related factors affecting the disease, the statistical analysis was made by using spss19.0 statistical software. Results: in this study, 260 cases were investigated, 6 cases were exfoliated, 254 cases were collected, of which 186 cases met the inclusion criteria. There were 62 patients (33.3333) with anxiety and depression, 66 (35.48%) with anxiety symptoms and 58 (31.18%) with depression. Sex, education, smoking, hypertension, diabetes may increase the risk of anxiety symptoms in patients with coronary heart disease; older women and highly educated patients with coronary heart disease may be more likely to develop depression symptoms. Patients with coronary heart disease complicated with diabetes have a tendency to develop depressive symptoms. Coronary heart disease combined with anxiety, depression in patients with qi stagnation and blood stasis syndrome, phlegm blocking the heart pulse syndrome, qi deficiency and blood stasis syndrome, qi and yin deficiency syndrome in the majority. Conclusion: the patients with coronary heart disease in Sichuan traditional Chinese Medicine Hospital have anxiety, and the TCM syndromes of depression are mainly distributed in qi stagnation and blood stasis, phlegm blocking heart vein, qi deficiency and blood stasis, qi and yin deficiency. Smoking, hypertension and diabetes are high risk factors for coronary heart disease complicated with emotional disorders.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R259;R277.7

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