更年期女性心身障碍的中医证候特征

The characteristics of TCM syndromes of psychosomatic disorders in climacteric women

关键词:  更年期  女性  心身障碍  中医证候

Key words:  climacteric  women  psychophysiologic disorders  TCM syndrome

摘要:

[目的] 研究更年期女性情绪障碍的特点及中医证候特征，为更年期女性心身综合防治策略提供借鉴。[方法] 以157例年龄在46～52岁伴有情绪障碍的更年期综合征女性为研究对象，采用改良Kupperman更年期评分标准评定更年期症状，焦虑自评量表（SAS）、抑郁自评量表（SDS）评定焦虑、抑郁等情绪障碍情况，用中医证候调查表评定其中医证候。[结果] 157例患者改良Kupperman评分均在11分以上，表现为中重度更年期症状；157例患者均以焦虑抑郁共病为情绪障碍特征，并且焦虑程度较抑郁程度为重（P<0.01）.更年期综合征患者4种不同情绪障碍的中医证候的分布类似（P>0.05），均以肝郁气滞、气郁化火、痰气郁结等实证多于心脾两虚、心肾阴虚等虚证，且不同情况情感障碍的更年期女性患者的痰瘀兼夹状况分布也相似（P>0.05）.[结论] 有情绪障碍的女性更年期综合征患者常以焦虑抑郁共病为表现特征，中医证候以实证为主，并且易于兼夹痰瘀，因此中西医结合心-身综合调治宜作为女性更年期的调治原则。

Abstract:

[Objective] To study the characteristics of emotional disorder and the characteristics of Traditional Chinese Medicine(TCM) syndrome in climacteric women, provides the reference to cure and prevent disease for menopausal women in both physical and mental. [Methods] The 157 cases of women with climacteric syndrome in the age group of 46～52 as the research object, assessed menopausal symptoms by the questionnaire of modified Kupperman Index, assessed anxiety disorder, depression by SAS and SDS, and used TCM syndrome questionnaire to assess its syndrome. [Results] The 157 patients have the modified Kupperman score above 11 points,were co-morbid moderate or severe anxiety and depression as the characteristic. The anxiety degree is severer than depressive degree(P<0.01). The distribution of TCM syndrome of climacteric syndrome in the four different types of mood disorder in patients is similar(P>0.05), more have excess syndrome(Stagnation of liver qi, fire due to qi stagnation, stagnation of phlegm and Qi) than deficiency syndrome (heart-spleen deficiency and heart-kidney yin deficiency). The distribution of phlegm and blood stasis in the four different types of mood disorder in patients is similar too (P>0.05), concurrently with phlegm stasis. [Conclusion] Menopausal syndrome patients with mood disorders have co-morbid anxiety and depression as characteristics, mainly have excess syndrome,and with phlegm and blood stasis,, therefore psychosomatic treatment should be regarded as principle for female climacteric syndrome.