痉挛性斜颈患者焦虑抑郁与中医体质的相关性研究

Study on the correlation between anxiety and depression in patients with spastic torticollis and traditional Chinese medicine constitution

关键词:  痉挛性斜颈  焦虑  抑郁  中医体质

Key words:  spasmodic torticollis  anxiety  depression  traditional Chinese medicine constitution

摘要:

[目的] 对痉挛性斜颈(ST)患者的焦虑抑郁状态及与中医体质的相关性进行探讨。[方法] 运用焦虑自评量表(SAS)、抑郁自评量表(SDS)及《中医体质分类与判定标准》，对290例ST患者进行横断面调查研究，记录患者焦虑、抑郁情绪的程度及中医体质类型占比，Logistics回归分析焦虑、抑郁与中医体质的关系。[结果] 290例ST患者普遍存在焦虑、抑郁情绪。排在前3名的中医体质类型依次是气虚质(22.1%)、平和质(21.4%)、阳虚质(17.9%)；焦虑与中医体质呈正相关(P＜0.05，r＞0)，以平和质为对照，Logistics回归分析显示，气虚质、气郁质、痰湿质、阳虚质和阴虚质为焦虑的危险体质(P＜0.05，OR＞1)；抑郁与中医体质呈正相关(P＜0.05，r＞0)，气虚质、气郁质和阳虚质为抑郁的危险体质(P＜0.05，OR＞1)。[结论] ST患者普遍存在焦虑、抑郁情绪，体质分布以偏颇体质为主，气虚质、阳虚质及气郁质占比较多。气虚质、气郁质、痰湿质、阳虚质和阴虚质是患者发生焦虑情绪的危险体质，气虚质、气郁质和阳虚质为抑郁情绪的危险体质。

Abstract:

[Objective] To explore the anxiety and depression status of patients with spastic torticollis(ST) and its correlation with traditional Chinese medicine constitution. [Methods] A cross-sectional survey was conducted on 290 ST patients using the Self Rating Anxiety Scale(SAS),Self Rating Depression Scale(SDS),and the Classification and Judgment Criteria for Traditional Chinese Medicine Constitution. The degree of anxiety and depression emotions and the proportion of traditional Chinese medicine constitution types were recorded. Logistics regression analysis was used to investigate the relationship between anxiety,depression,and traditional Chinese medicine constitution. [Results] Anxiety and depression were prevalent in 290 ST patients. The top three traditional Chinese medicine constitution types are qi deficiency constitution(22.1%),pinghe constitution(21.4%),and yang deficiency constitution(17.9%). Anxiety is positively correlated with traditional Chinese medicine constitution(P<0.05,r>0). Taking pinghe constitution as the control,Logistics regression analysis shows that qi deficiency,qi depression,phlegm dampness,yang deficiency,and yin deficiency are risk constitutions for anxiety(P<0.05,OR>1). In contrast,depression is positively correlated with traditional Chinese medicine constitution(P<0.05,r>0). Qi deficiency,qi depression,and yang deficiency are risk constitutions for depression(P<0.05,OR>1). [Conclusion] Anxiety and depression were prevalent in ST patients,and the distribution of constitution is mainly biased constitution,with qi deficiency,yang deficiency,and qi depression accounting for more. Qi deficiency,qi depression,phlegm dampness,yang deficiency,and yin deficiency are dangerous constitutions for patients experiencing anxiety,while qi deficiency,qi depression,and yang deficiency are dangerous constitutions for depression.