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[1]許超,肖魯偉,吳承亮.絕經(jīng)后女性骨質(zhì)疏松癥辨證分型與抑郁焦慮的關(guān)系研究[J].中醫(yī)正骨,2011,23(12):3-5.
 XU Chao*,XIAO Lu-wei,WU Cheng-liang.*.Study on the relationship between the syndrome differ classification and the depression and anxiety for the postmenopausal women with osteoporosis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2011,23(12):3-5.
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絕經(jīng)后女性骨質(zhì)疏松癥辨證分型與抑郁焦慮的關(guān)系研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第23卷
期數(shù):
2011年12期
頁碼:
3-5
欄目:
臨床研究
出版日期:
2011-12-31

文章信息/Info

Title:
Study on the relationship between the syndrome differ classification and the depression and anxiety for the postmenopausal women with osteoporosis
作者:
許超12肖魯偉3吳承亮3
1.浙江中醫(yī)藥大學(xué)附屬第二醫(yī)院,浙江 杭州 310005; 2.上海中醫(yī)藥大學(xué)中醫(yī)師承博士, 上海 201203; 3.浙江中醫(yī)藥大學(xué)骨傷研究所,浙江 杭州 310058
Author(s):
XU Chao*XIAO Lu-weiWU Cheng-liang.*
The second affiliated hospital of Zhejiang university of Chinese Medicine,Hangzhou 310005,Zhejiang,China
關(guān)鍵詞:
骨質(zhì)疏松絕經(jīng)后 辨證分型 抑郁 焦慮
Keywords:
Osteoporosispostmenopausal SYNDROME DIFFER CLASSIFICATION Depression Anxiety
摘要:
目的:探討絕經(jīng)后女性骨質(zhì)疏松癥患者辨證分型與抑郁、焦慮的關(guān)系。方法:將符合要求的70例絕經(jīng)后女性骨質(zhì)疏松癥患者按中醫(yī)辨證分型分為腎陽虛型、肝腎陰虛型、氣滯血瘀型及氣血虧虛型,并采用《漢密爾頓抑郁量表》和《漢密爾頓焦慮量表》評(píng)定患者抑郁和焦慮狀況,同時(shí)對各型患者發(fā)生抑郁和焦慮的情況進(jìn)行比較。結(jié)果:①70例患者中評(píng)估為抑郁者21例,評(píng)估為焦慮者24例。②70例患者中腎陽虛型15例,肝腎陰虛型21例,氣滯血瘀型12例,氣血虧虛型22例。③本組4種證型骨質(zhì)疏松患者發(fā)生抑郁的情況比較,差異無統(tǒng)計(jì)學(xué)意義(χ2=7.624,P=0.051); 發(fā)生焦慮的情況比較,差異有統(tǒng)計(jì)學(xué)意義(χ2=9.287,P=0.026),進(jìn)一步兩兩比較(修正后的檢驗(yàn)水準(zhǔn)α'=0.008),氣滯血瘀型患者發(fā)生焦慮的比例高于氣血虧虛型患者(χ2=7.472,P=0.006),其余各證型患者發(fā)生焦慮的情況比較,差異無統(tǒng)計(jì)學(xué)意義。結(jié)論:絕經(jīng)后骨質(zhì)疏松癥患者伴有抑郁和焦慮的比例較高,但各證型患者發(fā)生抑郁和焦慮的比例差異較小。
Abstract:
Objective:To explore the relationship between the syndrome differ classification and the depression and anxiety for the postmenopausal women with osteoporosis.Methods:Seventy postmenopausal women with osteoporosis were divided into KIDNEY YANG DEFICIENCY type,LIVER-KIDNEY YIN DEFICIENCY type,QI STAGNATION BLOOD STASIS type and QI-BLOOD DEFICIENCY type according to syndrome differ classification in traditional Chinese medicine.The situations of depression and anxiety for the patients were evaluated according to Hamilton Depression Scale and Hamilton Anxiety Scale,and the occurrences of depression and anxiety of the patients were compared among the 4 types.Results:①Twenty-one cases with depression and 24 cases with anxiety were found in the 70 patients.②Fifteen cases with KIDNEY YANG DEFICIENCY,21 cases with LIVER-KIDNEY YIN DEFICIENCY,12 cases with QI STAGNATION BLOOD STASIS and 22 cases with QI-BLOOD DEFICIENCY were found in the 70 patients.③There was no statistical difference in depression occurrences among the 4 types of patients(χ2=7.624,P=0.051).There was statistical difference in anxiety occurrences among the 4 types of patients(χ2=9.287,P=0.026).According to the further paired comparison approach with the revised size of test(α'=0.008),the proportion of anxiety occurrence for the patients with QI STAGNATION BLOOD STASIS was higher than that of the patients with QI-BLOOD DEFICIENCY(χ2=7.472,P=0.006); while there was no statistical difference in anxiety occurrences between any other couple types.Conclusion:The patients with postmenopausal osteoporosis suffer more depression and anxiety,but there is minor difference of proportion of depression and anxiety among the patients with different syndrome differ classification.

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備注/Memo

備注/Memo:
基金項(xiàng)目:浙江省自然科學(xué)基金項(xiàng)目(Y2111258) 通訊作者:許超 E-mail:[email protected]
更新日期/Last Update: 1900-01-01