高血压病伴焦虑抑郁状态的人格特征及中医证型的相关性研究

发布时间：2018-07-29 10:13

【摘要】：目的通过对高血压病伴与不伴焦虑抑郁状态患者的一般情况、人格特征、中医证型问卷调查,分析其影响因素,观察高血压病伴焦虑抑郁状态患者人格特征及中医证型的分布规律;探讨高血压病患者的焦虑程度与人格特征及中医证型的相关性,从心理学、中医学角度为高血压病的预防、综合治疗,提供参考。方法研究对象来自于2015.3~2016.2就诊于河南省中医院精神心理科,河南中医药大学第三附所医院,郑州大学第一附所医院,选择符合纳入标准的高血压病患者和血压正常者进行问卷调查。包括:一般资料填写(年龄、性别、婚姻、文化程度、职专等),HAD、EPQ-RSC、SAS评分及高血压病中医证型确立。研究分两部分:1.依据HAD得分,分为观察指(高血压病伴焦虑抑郁状态,44例)和对照指(高血压病不伴焦虑抑郁状态,40例),对两指患者的一般情况、人格特征进行统计分析,观察焦虑抑郁和人格特征在两指间中医证型的分布情况。2.选取高血压病患者和血压正常者各50例,比较两指间焦虑程度与人格特征的分布规律和相关性;探讨不同中医证型高血压病患者的焦虑程度与人格特征的相关性。所有数据采用软件SPSS19.0进行统计学分析,计数资料以百分率表示,采用χ2检验,计量资料用(?)±s表示,采用t检验,以P0.05为有效显著性差异,相关性采用Spearman相关分析,多指间进行SNK-q检验。结果1观察指和对照指在年龄、性别上比较无统计学差异(P0.05),年龄段构指比中,两指均以中青年居多,在文化程度、职专上比较有统计学差异(P0.05);2观察指和对照指在人格特征上以文化程度(大专及以上)的人格特征N得分,观察指高于对照指,具有极显著性差异(P0.01),职专(从事脑力劳动)上观察指患者人格特征N(P0.01)、P(P0.05)得分高于对照指;3肝火亢盛证焦虑抑郁发病率最高,观察指中肝火亢盛证、阴虚阳亢证的人格特征N得分具有统计学意义(P0.01),两指间不同中医证型的人格特征P得分无统计学意义(P0.05)。5高血压指和血压正常指在SAS评分和人格特征N上比较有统计学意义(P0.01),高血压指SAS评分与人格特征NSpearman相关性分析(r=0.59,P=0.02);6不同中医证型高血压指与血压正常指SAS评分无统计学意义(P0.05),而神经质N维度得分在指间多重比较有统计学意义(P0.05),其中肝火亢盛证的N具有统计学意义(P0.05),另四指间比较无统计学意义(P0.05)。结论1焦虑抑郁状态普遍存在于高血压病患者中,以伴焦虑更明显。2高血压病伴焦虑抑郁状态在职专、受教育程度有一定的规律性,人格特征以N、P为表现,具有情绪不稳定、孤僻等特点。3在中医证型以肝火亢盛证为主,具有明显的N、P人格特征,可作为临床诊断的参考指标,其余三种证型参考意义不大。4高血病病患者的焦虑程度与人格特征N有一定的相关性,而对中医证型确立的参考意义有限,说明具有情绪不稳定、易紧张等的人格特征的高血压病患者更易出现焦虑状态,与焦虑程度呈正相关。
[Abstract]:Objective to investigate the personality characteristics and the distribution of TCM Syndrome Types in hypertensive patients with anxiety and depression, and to explore the degree of anxiety and personality characteristics and TCM syndrome types of hypertension patients by investigating the general situation, personality characteristics and TCM syndrome type questionnaire survey of patients with hypertension and without anxiety and depression. Correlation, from the perspective of psychology and traditional Chinese medicine for the prevention of hypertension, comprehensive treatment, provide reference. The object of the study was from 2015.3~2016.2 in the psychiatry department of Henan Traditional Chinese Medicine Hospital, Third Affiliated Hospital of Henan University of traditional Chinese medicine and the First Affiliated Hospital of Zhengzhou University, choosing the hypertensive patients and blood pressure which were in accordance with the standards. The normal subjects were investigated with a questionnaire, including: general information (age, sex, marriage, educational level, vocational school, etc.), HAD, EPQ-RSC, SAS score and the establishment of TCM syndrome type of hypertension. The study was divided into two parts: 1. according to the score of HAD, it was divided into the observation finger (hypertension with anxiety and depression, 44 cases) and the control finger (hypertension, without anxiety and depression, 40 The general situation and personality characteristics of the two fingers were statistically analyzed, and the distribution of anxiety, depression and personality characteristics were observed in the two interphalangeal TCM syndrome types.2., 50 cases of hypertension and normal blood pressure were selected, and the distribution and correlation of the degree of anxiety between the two fingers and the personality characteristics were compared, and the different TCM syndrome type hypertension was discussed. The correlation between the degree of anxiety of the patient and personality characteristics. All the data were statistically analyzed by software SPSS19.0, the count data were expressed as a percentage, the x 2 test was used, the measurement data was expressed with (?) + s, and the t test was used to use the P0.05 as the significant difference, the correlation analysis was used for Spearman correlation analysis, and the multiple interphalangeal SNK-q test. Results 1 views. There is no statistical difference in age and sex (P0.05). The two fingers in the age group are mostly middle-aged and young, and there are statistically significant differences (P0.05) on the educational level. The 2 observation finger and control refers to the personality characteristics of the personality characteristic N score of the personality characteristics (College and above), and the observation finger is higher than the control finger. There was a very significant difference (P0.01), professional (engaged in mental labor) observation of the personality characteristics of patients N (P0.01), P (P0.05) score higher than the control finger; 3 liver fire hyperactivity syndrome, the highest incidence of anxiety and depression, the observation of the middle liver fire hyperactivity syndrome, Yin deficiency yang hyperactivity syndrome of the personality characteristics of N score (P0.01), two different syndromes of different types of personality between the fingers of the personality of the personality of the personality of the personality of the personality of the personality of the personality of the personality of the personality of the personality of the personality of the two personality of personality. The score of characteristic P was not statistically significant (P0.05).5 hypertension finger and blood pressure normal finger is statistically significant on SAS score and personality characteristics N (P0.01), hypertension refers to SAS score and personality characteristic NSpearman correlation analysis (r=0.59, P=0.02); 6 different TCM syndrome type hypertension finger and normal finger SAS score of blood pressure have no statistical significance (P0.05), and God There was statistical significance in the multiple comparison of the N dimensions between the fingertips (P0.05), and the N of the hyperactivity of liver fire was statistically significant (P0.05), and the other four between the fingers had no statistical significance (P0.05). Conclusion 1 the state of anxiety and depression was common in the patients with hypertension, which was more obvious in the patients with.2 hypertension and anxiety and depression. The education level has a certain regularity. The personality characteristics are N, P, emotional instability, isolated and other characteristics of.3 in TCM syndrome type with liver fire hyperactivity syndrome, with obvious N, P personality characteristics, can be used as a reference index for clinical diagnosis, the other three types of reference significance is not big.4 high blood disease patients' anxiety degree and personality characteristic N have one. The reference significance of the establishment of TCM syndrome type is limited, which indicates that the hypertensive patients with personality characteristics such as emotional instability and tension are more likely to appear anxious and have a positive correlation with the degree of anxiety.
【学位授予单位】：河南中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R259

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