缺血性脑卒中后心理状态与中医证候关系的研究

文章信息/Info

• Title:缺血性脑卒中后心理状态与中医证候关系的研究

• 卷期:2024年22卷11期

• 作者:刘皓月 袁庆 钟怡静 吴志忠 王赟

• 新余市人民医院中西医结合科,江西 新余 338000

• Author(s):Haoyue Liu,Qing Yuan,Yijing Zhong,Zhizhong Wu,Yun Wang

• Xinyu people's hospital,Jiangxi Xinyu,China

• 关键词缺血性脑卒中；心理障碍；中医证候

• Keywords: Ischemic stroke; Psychological disorder; TCM Syndrome

• 摘要:目的：探讨缺血性脑卒中患者的心理状态与中医证侯的相关性。方法：选取2022年1月至8月新余市人民医院收治的120例缺血性脑卒中患者纳入研究，进行证侯评分与诊断，并同时进行汉密尔顿抑郁、焦虑量表评分，对不同证侯要素与有无神经心理障碍进行统计学相关性分析。结果：缺血性脑卒中后患者出现抑郁焦虑障碍的总发生率为45.8％，其中抑郁发生率为29.2％，焦虑为12.5%，抑郁与焦虑混合状态为4.2％。痰湿、气虚证候与抑郁相关性高，内火、阴虚与焦虑相关性高，BMI越小越容易出现抑郁焦虑状态（P<0.05）。结论：缺血性脑卒中后抑郁焦虑的发生与中医证候存在相关性，痰湿、气虚证候易致抑郁，内火、阴虚证候易致焦虑。                                                                                                                                                                                

• Abstract  To investigate the correlation between mental status and TCM syndromes in patients with ischemic stroke. Methods: A total of 120 patients with ischemic stroke from January to August 2022 in Xinyu people's hospital were enrolled in the research. The syndrome score and diagnosis were performed, and the Hamilton Depression and Anxiety Scale was scored at the same time, to analyze the ralationship between different syndromes and psychological disorders. Results: The total incidence of depression and anxiety disorder in patients winth ischemic stroke was 45.8%, including 29.2% depression, 12.5% anxiety, 4.2% anxiety-depression. The syndrome of phlegm-dampness and Qi deficiency was highly correlated with depression, syndrome of internal fire and Yin deficiency were highly correlated with anxiety, BMI was negatively correlated with anxiety and depression(P < 0.05). Conclusion: The occurrence of depression and anxiety after ischemic stroke is correlated with TCM syndromes. Syndromes of phlegm-dampness and Qi deficiency are more likely to cause depression, while syndromes of internal fire and Yin deficiency are more likely to cause anxiety.                

  缺血性脑卒中是临床上的常见病和多发病，具有高致残率、高病死率和高复发率等特点[1]。患者生活质量低下，医疗经济负担大，治疗和康复时间长，因此常常合并烦躁、焦虑、抑郁等不良的心理状态。中风后情绪障碍是常见的脑血管病的并发症之一，而情绪障碍主要是焦虑、抑郁或两者的混合状态，总体发病率公认是在40％一50％[2]。所以，这不仅影响患者的生活质量，也对治疗过程产生不同程度的消极影响，严重影响了患者的预后[3-4]。