目的:对抑郁症患者的抑郁症症状与中医体质的关联性进行探讨。方法:对山东省精神卫生中心门诊收集的250例的抑郁症患者采用汉密尔顿抑郁量表(HAMD)进行评定,对250例患者进行中医体质归纳,分析抑郁症状与中医体质的关联性。结果:对不同性别、年龄之间的中医体质分布情况进行比较发现:女性的发病率为54.5%,高于男性的45.5%;中年人的发病率为57.3%,显著高于青年患者的34.6%和老年患者的8.1%。246例调查对象中,中医体质主要集中在气郁质24.80%、气虚质16.67%、阳虚质15.45%这3种中医体质类型中。抑郁分型为重型、亚临床型、轻型、恶劣心境的构成比分别为13.82%、32.52%、30.08%、23.58%。结论:抑郁症患者疾病及分型与中医体质存在一定的关联性,"气积而郁、气虚而郁"可能是主要的原因。
Objective: To investigate the correlation between the depressive symptoms in patients with depression and TCM constitution. Methods: 250 patients with depression were collected from outpatient department in hospital using Hamilton depressive scale(HAMD) assessment, 250 patients were concluded with TCM constitution and the correlation between depressive symptoms and TCM constitution was analyzed. Results: The incidence rate of female was 54.5%, it was higher than that of male 45.5%, and the incidence rate of middle aged people was 57.3%, which was significantly higher than that of 34.6% of young patients and 8.1% of elderly patients. In 246 cases, the constitution of traditional Chinese medicine mainly focuses on qi depression 24.80%, qi deficiency 16.67% and yang deficiency 15.45% that were 3 TCM constitution types. Depression type was divided into heavy type, subclinical type, light type, dysthymia that the constituent ratio was 13.82%, 32.52%, 30.08% and 23.58% respectively. Conclusion: Types of patients with depression and TCM constitution had some relevance, and ‘depression due to qi stagnation, qi depression due to deficiency' might be probably the main reason.