刘玉洁工作室抑郁症的筛选及中医证型研究

发布时间：2018-08-15 16:23

【摘要】：目的观察刘玉洁工作室抑郁症患者在性别、年龄、职业、文化程度、居住地、平均每月家庭收入等情况的分布情况,探讨其影响因素,研究抑郁症患者的证候分布规律,以及其与抑郁症相关因素之间的关系,为抑郁症的中医分型提供可靠地资料,为临床上进行进一步的研究以及应用中医辨证论治的理论对抑郁症的预防及治疗提供一定的依据。方法收集在2014年5月1日至2015年9月30日期间就诊于刘玉洁工作室的病人的有效资料,根据SDS自评表评分、他评的HAMD他评表评分以及诊断标准、纳入标准、排除标准,共确诊出抑郁症的患者共440例。采集确诊的抑郁症患者的性别、年龄、职业、居住地等一般的资料信息以及四诊的信息,建立相关的信息数据库;应用统计学的软件SPSS21.0对所收集到的抑郁症患者的相关资料进行频数分析、卡方检验、聚类分析等统计学上的分析,分析患者的性别、年龄等一般信息资料,概括出抑郁症流行病学上的分布情况,探讨其影响因素,并总结及研究抑郁症患者中医证型的分布规律以及其与患者在性别、年龄、职业、文化程度等方面的相关性。结果通过统计学上的分析,结果显示440例抑郁症的患者,女性的患者多于男性,为342人,占77.7%;中老年(45-80)的患者为367人83.5%;高中(包括中专)文化水平的患者为205人,占46.6%;患者中职员为148人,占33.7%,工人为128人,占29.1%;已婚的患者为354人,占80.5%,平均每月家庭收入2000-3000元的患者为230人,占52.3%;春季发病的患者为188人,占42.7%;患有躯体性疾病的患者数为291人,占66.1%;居住在城市的患者为274人,占62.3%;轻度抑郁的患者为323人,占73.4%。440例抑郁症患者的中医症候共被聚为六类,肝郁痰扰型的患者最多,240例,共占有54.54%,邪郁少阳,枢机不利型患者104例,占23.63%,肝郁脾虚型患者46例,占10.45%,心脾两虚型共20例占4.54%,肝郁气滞型患者14例,占3.18%,肝肾阴虚型共16例,占3.63%;抑郁症患者的各中医证型的分布与性别、年龄、季节、是否患有躯体性疾病经过统计学的相关分析有统计学意义(P0.05),抑郁症患者中医证型的分布与居住地、婚姻状况、职业、平均每月家庭收入、抑郁程度无统计学意义(P0.05)。结论1 440例抑郁症患者中女性、中老年、已婚、家庭平均月收入小于2000-3000元、春季发病、高中文化程度、职员、患躯体性疾病性、居住在城市的患者较高。轻度抑郁程度的患者最多。2抑郁症患者的各个中医证型的分布,肝郁痰扰型的患者最多,其他的证型依次为邪郁少阳、枢机不利型,肝郁脾虚型,心脾两虚型,肝肾阴虚型,肝郁气滞型。3)性别、年龄、发病季节、是否伴有躯体性疾病与证型的分布有相关性(P0.05),居住地、职业、文化程度、平均每月家庭收入、婚姻状况、抑郁程度与证型的分布无明显相关性(P0.05)。
[Abstract]:Objective to observe the distribution of gender, age, occupation, education, residence and average monthly family income in patients with depression in Liu Yujie studio, to explore the influencing factors and to study the pattern of syndrome distribution in patients with depression. The relationship between depression and its related factors provides reliable data for TCM classification of depression and provides some basis for clinical study and the application of TCM theory of syndrome differentiation in the prevention and treatment of depression. Methods the valid data of the patients who visited Liu Yujie studio from May 1, 2014 to September 30, 2015 were collected. According to the SDS self-assessment scale, the HAMD other assessment scale and the diagnostic criteria, the criteria were included and excluded. A total of 440 patients were diagnosed with depression. To collect the general information of sex, age, occupation, residence of the diagnosed depression patients and the information of four consultations, and establish the relevant information database; The statistical software SPSS21.0 was used to analyze the frequency, chi-square test, cluster analysis and other general information data of patients with depression, such as gender, age, etc. The distribution of depression epidemiology was summarized and the influencing factors were discussed. The distribution of TCM syndromes of depression patients and their correlation with gender, age, occupation, education and so on were summarized and studied. Results by statistical analysis, the results showed that 440 patients with depression, 342 more women than men, accounted for 77.7 percent; 367 patients with middle and old age (45-80) had 83.5 yuan; 205 patients with high school (including technical secondary school) education level. Accounting for 46.6%; of the patients, 148 were employees (33.7%), 128 were workers (29.1%); 354 were married patients (80.550 yuan). The average monthly household income was 2000-3000 yuan (230 patients), accounting for 52.3% of the total number of patients. In spring, 188 patients developed the disease. The number of patients suffering from somatic diseases was 291, accounting for 66.1; the number of patients living in urban areas was 274, accounting for 62.3; the number of patients with mild depression was 323, accounting for 73.4.440 patients with depression were grouped into six categories, and the most 240 patients with liver depression were phlegm disturbance. There were 104 cases (23.63) of unfavorable cardinal type, 46 cases (10.45%) of liver stagnation and spleen deficiency type, 20 cases (4.54%) of heart and spleen deficiency type, 14 cases (3.18%) of liver stagnation and qi stagnation type, and 16 cases of liver and kidney yin deficiency type. The distribution of TCM syndromes and sex, age, season, whether or not suffering from somatic diseases were statistically significant (P0.05), the distribution of TCM syndromes and residence, marital status, occupation of depression patients, The average monthly family income and depression were not statistically significant (P0.05). Conclusion the average monthly income of female, middle aged, married, family is less than 2000-3000 yuan, the incidence of disease in spring, high school education, staff, somatic disease, living in the city is higher. The distribution of TCM syndromes of patients with mild depressive degree is the most, the type of liver depression and phlegm disturbance is the most, the other syndrome types are evil stagnation Shaoyang, cardinal unfavorable type, liver stagnation and spleen deficiency type, heart and spleen deficiency type, liver and kidney yin deficiency type, the other syndromes are evil stagnation Shaoyang type, cardinal unfavorable type, liver stagnation and spleen deficiency type, liver and kidney yin deficiency type. (3) gender, age, onset season, physical disease associated with the distribution of syndrome type (P0.05), place of residence, occupation, education level, average monthly family income, marital status, There was no significant correlation between the degree of depression and the distribution of syndromes (P0.05).
【学位授予单位】：华北理工大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R277.7

【相似文献】