摘要
目的探究慢性萎缩性胃炎(CAG)不同中医证型患者与焦虑抑郁情绪的相关性。方法收集2022年2月—2023年1月在广州医科大学附属中医医院脾胃科就诊的内镜下病理确诊CAG的患者206例,进行中医辨证分析和焦虑抑郁评定,并行相关性研究分析。结果206例CAG患者中医证型以脾胃虚弱(寒)证为主,脾胃湿热证次之。各中医证型与焦虑程度的评定差异有统计学意义(P<0.05),组间两两比较,胃络瘀血证与脾胃虚弱(寒)证、脾胃湿热证、肝胃气滞证之间差异有统计学意义(P<0.05),余证型间比较差异无统计学意义(P>0.05);各中医证型与抑郁程度的评定差异无统计学意义(P>0.05);患者的中医症状积分与焦虑评分、抑郁评分两两之间呈正相关(P<0.01)。结论CAG患者以脾胃虚弱(寒)证为主,其中医证型分布与焦虑的发生和程度存在一定的相关性,患者的临床症状程度与焦虑、抑郁程度两两之间呈正相关。
Objective To explore the relationship between anxiety and depression in patients with chronic atrophic gastritis(CAG)with different Traditional Chinese Medicine(TCM)syndromes.Methods 206 patients with pathologically diagnosed CAG under endoscope who were treated in the Department of Spleen and Stomach of the Affiliated Hospital of Traditional Chinese Medicine of Guangzhou Medical University from February 2022 to January 2023 were collected for TCM syndrome differentiation analysis,anxiety and depression assessment,and correlation study analysis.Results The TCM syndrome types of 206 CAG patients were mainly spleen and stomach weakness(cold)syndrome,followed by spleen and stomach damp-heat syndrome.There was a statistical difference in the evaluation of each TCM syndrome type and anxiety degree(P<0.05),and there was a statistical difference between the two groups(P<0.05),between the stomach collateral stasis syndrome and the spleen and stomach weakness(cold)syndrome,the spleen and stomach damp-heat syndrome,and the liver and stomach qi stagnation syndrome,but there was no significant difference between the other syndrome types(P>0.05);There was no statistical difference in the evaluation of depression degree and syndrome types of traditional Chinese medicine(P>0.05);There was a positive correlation between the score of TCM symptoms,anxiety score and depression score(P<0.01).Conclusion Patients with CAG are mainly characterized by spleen and stomach weakness(cold)syndrome,and the distribution of medical syndrome types has a certain correlation with the occurrence and degree of anxiety.The clinical symptom level of patients is positively correlated with the degree of anxiety and depression.
作者
曾锋
王学川
廖媛
范嘉伟
张敏怡
杨以琳
ZENG Feng;WANG Xuechuan;LIAO Yuan;FAN Jiawei;ZHANG Minyi;YANG Yilin(Department of Spleen and Stomach Diseases,Guangzhou Traditional Chinese Medicine Hospital Affiliated to Guangzhou University of Traditional Chinese Medicine,Guangzhou,510000,China;Department of Spleen and Stomach Diseases,Affiliated Traditional Chinese Medicine Hospital of Guangzhou Medical University)
出处
《中国中西医结合消化杂志》
CAS
2023年第8期599-603,共5页
Chinese Journal of Integrated Traditional and Western Medicine on Digestion
基金
广东省中医药重点学科建设项目(No:粤中医办函[2021]129号)。
关键词
慢性萎缩性胃炎
中医证型
焦虑
抑郁
chronic atrophic gastritis
Traditional Chinese Medicine syndrome type
anxiety
depression
