摘要
目的:加强躯体形式障碍的识别,探讨中医证治规律。方法:在门诊收集到以躯体化症状为主诉93例患者,根据《中国精神障碍分类与诊断标准》(第3版)(CCMD-Ⅲ)的诊断标准,分为躯体形式障碍组、抑郁症组和神经衰弱组。采用Zung氏焦虑自评量表(SAS)、抑郁自评量表(SDS)对3组患者的情绪障碍严重程度定量评估和比较,并进行中医辨证分型。结果:躯体形式障碍在中医针灸门诊以疼痛、皮肤异常感觉为多见,主要出现于头面、肢体等部位,焦虑、抑郁情绪的严重程度低于另外两组。中医辨证以肝郁不舒为主。结论:在临床中加强对躯体形式障碍的识别,从肝论治,形神共调,发挥中医的诊疗优势,有望提高躯体形式障碍的临床疗效。
Objective To strengthen differentiation of somatoform disorders and probe into regular rules of TCM syndrome differentiation treatment. Methods Clinical data of 93 cases of somatoform disorders were collected from clinic departments of TCM acupuncture and moxibustion in general hospitals, and were divided into somatoform disorders group （ n =41）, depression group （ n = 30） and neurosis group （ n = 22） according to diagnostic criteria of CCMD-Ⅲ. Zung＇s self-evaluating anxiety scale （SAS）, and self-evaluating depression scale （SDS） were used for quantitative evaluation and comparison of severities of emotional disorders, and TCM syndrome type differentiation was carried out. Results Somatoform disorders were most marked by pain, abnormal sensation of the skin mainly on the head, four limbs, etc. in TCM acupuncture and moxibustion clinic department, and the severities of anxiety and depression in the somatoform disorders group are lower than those in other two groups, and stagnation of the liver-qi is main TCM syndrome. Conclusion Strengthening differentiation of somatoform disorders, treatment based on the liver and exerting advantages of TCM in diagnosis and treatment may increase clinical therapeutic effects on somatoform disorders in TCM acupuncture and moxibustion treatment.
出处
《中国针灸》
CAS
CSCD
北大核心
2006年第11期814-817,共4页
Chinese Acupuncture & Moxibustion
