SAS、SDS评分在肝气郁滞型代谢综合征中医辨证分型中的作用
发布时间：2018-11-24 13:32
【摘要】：目的采用焦虑自评量表(SAS)、抑郁自评量表(SDS)评分验证肝气郁滞型代谢综合征(MS)患者中医辨证分型的准确性,为肝气郁滞型MS的中医辨证分型提供规范化、量化的依据。方法将548例(男287例,女261例)MS患者根据中医四诊资料分为肝气郁滞型(147例)、痰湿壅盛型(140例)、瘀血阻络型(131例)、脾肾两虚型(130例)4种证型。测所有患者的身高、体重、腹围、血压、血糖、血脂(包括TG、TC、LDL-C、HDL-C)等指标并计算患者体重指数(BMI)、SAS和SDS标准分,分析不同中医证型中各观察指标的关系。结果肝气郁滞型MS患者的SAS及SDS标准分与其余3种证型比较,差异有统计学意义(P0.01)。肝气郁滞型MS患者的体重、腹围及TG与瘀血阻络型、脾肾两虚型比较,差异亦有统计学意义(P0.05),肝气郁滞型MS患者的BMI与脾肾两虚型比较,差异有统计学意义(P0.05)。结论肝气郁滞型MS患者的SAS、SDS标准分结果证实了肝气郁滞型MS中医辨证分型的准确性,为肝气郁滞型MS的中医辨证分型提供了规范化、量化的依据。其可能引发心脑血管疾病的风险增加。
[Abstract]:Objective to verify the accuracy of TCM syndrome differentiation in patients with stagnation of liver-qi metabolic syndrome (MS) by using self-rating anxiety scale (SAS),) depression self-rating scale (SDS), and to provide standardization for TCM syndrome differentiation of MS with stagnation of liver-qi. The basis for quantification. Methods 548 cases (male 287 and female 261) with MS were divided into four types according to the four diagnosis data of TCM: stagnation of liver qi (147 cases), stagnation of phlegm and dampness (140 cases), stasis of blood and obstruction of collaterals (131 cases), deficiency of spleen and kidney (130 cases). Height, weight, abdominal circumference, blood pressure, blood glucose, blood lipid (including TG,TC,LDL-C,HDL-C) were measured and body mass index (BMI), SAS) and SDS standard score were calculated. To analyze the relationship between observation indexes of different TCM syndromes. Results the standard scores of SAS and SDS in MS patients with stagnation of liver-qi were significantly different from those of the other three syndrome types (P0.01). The weight, abdominal circumference and TG of MS patients with stagnation of liver-qi were significantly different from those of blood stasis, deficiency of spleen and kidney (P0.05), BMI of MS with stagnation of liver-qi and deficiency of spleen and kidney. The difference was statistically significant (P0.05). Conclusion the results of SAS,SDS standard scores of MS patients with stagnation of liver-qi confirmed the accuracy of TCM syndrome differentiation and classification of MS with stagnation of liver-qi, and provided a standardized and quantitative basis for the differentiation of TCM syndromes of MS with stagnation of liver-qi. It may lead to increased risk of cardiovascular and cerebrovascular diseases.
【作者单位】： 广州中医药大学第二临床医学院;
【分类号】：R259
本文编号：2353912
[Abstract]:Objective to verify the accuracy of TCM syndrome differentiation in patients with stagnation of liver-qi metabolic syndrome (MS) by using self-rating anxiety scale (SAS),) depression self-rating scale (SDS), and to provide standardization for TCM syndrome differentiation of MS with stagnation of liver-qi. The basis for quantification. Methods 548 cases (male 287 and female 261) with MS were divided into four types according to the four diagnosis data of TCM: stagnation of liver qi (147 cases), stagnation of phlegm and dampness (140 cases), stasis of blood and obstruction of collaterals (131 cases), deficiency of spleen and kidney (130 cases). Height, weight, abdominal circumference, blood pressure, blood glucose, blood lipid (including TG,TC,LDL-C,HDL-C) were measured and body mass index (BMI), SAS) and SDS standard score were calculated. To analyze the relationship between observation indexes of different TCM syndromes. Results the standard scores of SAS and SDS in MS patients with stagnation of liver-qi were significantly different from those of the other three syndrome types (P0.01). The weight, abdominal circumference and TG of MS patients with stagnation of liver-qi were significantly different from those of blood stasis, deficiency of spleen and kidney (P0.05), BMI of MS with stagnation of liver-qi and deficiency of spleen and kidney. The difference was statistically significant (P0.05). Conclusion the results of SAS,SDS standard scores of MS patients with stagnation of liver-qi confirmed the accuracy of TCM syndrome differentiation and classification of MS with stagnation of liver-qi, and provided a standardized and quantitative basis for the differentiation of TCM syndromes of MS with stagnation of liver-qi. It may lead to increased risk of cardiovascular and cerebrovascular diseases.
【作者单位】： 广州中医药大学第二临床医学院;
【分类号】：R259
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