肝郁证患者防御机制特点的临床分析*

Clinical research on the effect of the defense mechanism on stagnation of liver-QI in Traditional Chinese Medicine

关键词:  中医  肝郁证  防御机制

Key words:  traditional Chinese medicine  stagnation of liver-QI  defense mechanism

摘要:

[目的]分析中医肝郁证患者防御机制特点,为从心理应激角度预防和治疗情志病提供新的思路。[方法]采用证候辨证标准筛选肝郁证患者33例,并设30例健康人进行对照,分析防御方式问卷(DSQ)在两组人群中存在的差异和异病同证肝郁证患者防御方式的特点。[结果]肝郁组与健康人组防御方式比较,不成熟防御机制、成熟防御机制以及掩饰度与健康人组之间均有显著性差异(P<0.05)。肝郁证患者异病同证间DSQ各因子比较差异并没有显著性(P>0.05)。[结论]肝郁证患者防御机制共同特点是不成熟防御方式运用较多,提示在进行药物辨证治疗的同时,应重视并加大心理干预对策的运用力度,做好心理保健。

Abstract:

[Objection] To investigate the clinical characteristics of the defense mechanism effects on stagnation of liver-QI in traditional Chinese medicine and to search the cause of stagnation of liver-QI and offer new mode in precaution of emotion illness from the point of view in psycho-stress.[Methods] Thirty-three stagnation of liver-QI patients and thirty healthy persons were preparation to analyze the discrepancy of DSQ existing in the two groups and in the persons who had different diseases but isosyndrome (stagnation of liver-QI) by dialectical standard screening.[Results] The immature defense mechanism and the mature defense mechanism and the factor of covering up were significantly higher in stagnation of liver-QI patients than the thirty healthy persons (P<0.05).The persons with stagnation of liver-QI showed quietly similar effect on the factors of DSQ (P>0.05).[Conclusion] The persons with stagnation of liver-QI lay particular stress on the immature defense mechanism,which pointed out that we should think highly of psycho-interfere and do well in psychology health protection including dialectical curing with drug.