摘要
目的探讨冠心病(CHD)患者中医心理紊乱状态分布特征及与中医体质、人格的关系。方法选取2017年8月—2018年12月在医院收治的CHD患者300例,采用调查问卷的方式收集患者资料、中医心理紊乱状态评定表、中医体质学分型以及进行艾森克人格问卷(EPQ)调查,运用本院中医体质辨识软件进行中医体质学分型调查,运用心理CT系统进行EPQ调查。观察CHD患者中医心理紊乱状态分布情况、中医体质类型分布情况以及EPQ评分。结果CHD伴中医心理紊乱状态患者167例,其中气虚质(29.34%)、血瘀质(21.56%)、痰湿质(18.56%)、湿热质(13.17%),不伴有中医心理紊乱状态患者133例;经Spearman等级相关分析,中医心理紊乱状态中烦躁焦虑状态与气虚、血瘀、痰湿、湿热4种体质均呈正相关关系(P<0.05);思虑过度状态与血瘀、痰湿、湿热呈正相关关系(P<0.05);郁闷不舒状态仅与痰湿质呈正相关关系(P<0.05);惊悸不安状态与血瘀、湿热体质呈正相关关系(P<0.05),与气虚质呈负相关关系(P<0.05);精神萎靡状态与气虚、血瘀、湿热体质呈负相关关系(P<0.05)。两组患者精神质(P)分、内外相(E)分和掩饰性(L)分比较(P>0.05),中医心理紊乱状态组患者神经质(N)分显著高于非中医心理紊乱状态组患者(P<0.05);经Pearson相关性分析,CHD患者不同中医心理紊乱状态和艾森克人格问卷N分相关系数分别为0.613、0.584、0.529、0.497、0.596,均呈显著正相关关系(均P<0.05)。结论CHD患者大多伴有心理紊乱,其中气虚、血瘀、痰湿以及湿热质为常见体质类型,且人格神经质、内外向、精神质以及掩饰性是影响CHD患者康复的重要因素。
Objective To explore the distribution characteristics of TCM mental disorder in patients with coronary heart disease(CHD)and its relationship with TCM constitution and personality.Methods A total of 300 patients with CHD admitted to our hospital between August 2017 and December 2018 were selected.The questionnaires were used to collect the data,TCM mental disorder status assessment form and TCM constitutional classification.And then we conducted Eysenck Personality Questionnaire(EPQ)survey.The TCM constitutional quality classification software was used to conduct TCM physical quality classification survey,and the psychological CT system was used for EPQ questionnaire.The distribution of TCM mental disorders in patients with CHD,the distribution of TCM constitution types and the scores of EPQ were observed.Results There were 167 patients with CHD and TCM mental disorder,including Qi deficiency(29.34%),blood stasis(21.56%),phlegm-damp(18.56%)and damp-heat(13.17%),133 patients without TCM mental disorder.According to Spearman rank correlation analysis,the irritability and anxiety state of TCM mental disorder was positively correlated with Qi deficiency,blood stasis,phlegm-damp and damp-heat(P<0.05).There was a positive correlation between excessive thinking and blood stasis,phlegm-damp and damp-heat(P<0.05).The depressed and uncomfortable state was only positively correlated with phlegm-damp(P<0.05).There was a positive correlation between convulsion and blood stasis and damp-heat constitution(P<0.05),and a negative correlation with Qi deficiency(P<0.05).The state of mental wilting was negatively correlated with Qi deficiency,blood stasis and damp-heat(P<0.05).The scores of psychosis(P),introversion and extroversion(E)and concealment(L)were not significant(P>0.05).The neurotic(N)scores of the TCM mental disorder group were significantly higher than those of the non-TCM mental disorder group(P<0.05).According to Pearson correlation analysis,the correlation coefficients of different TCM mental disorders and Eysenck Personality Questionnaire in patients with CHD were 0.613,0.584,0.529,0.497 and 0.596,respectively,which showed a significant positive correlation(P<0.05).Conclusion Most patients with CHD are accompanied by TCM mental disorder.Among them,Qi deficiency,blood stasis and phlegm-damp are common physical types of patients with CHD,and personality neurology,introversion and extroversion,mental quality and concealment are important factors affecting the rehabilitation of patients.
作者
赵刘乐
王灵君
刘小彦
常宁
乔德峰
ZHAO Liule;WANG Lingjun;LIU Xiaoyan;CHANG Ning;QIAO Defeng(Shijiazhuang No.8 Hospital,Shijiazhuang 050081,Hebei,China)
出处
《辽宁中医杂志》
CAS
2021年第4期5-8,共4页
Liaoning Journal of Traditional Chinese Medicine
基金
河北省中医药管理局科研计划项目(2018267)。
关键词
中医心理紊乱状态
冠心病
艾森克人格问卷
中医体质学分型
TCM mental disorder state
TCM psychological disorder status assessment table
coronary heart disease
Eysenck personality questionnaire
TCM constitutional classification table
