黄雯晖 周俊香

    福建医科大学附属宁德市医院中医科，福建宁德352100

    腹泻型肠易激综合征患者焦虑、抑郁状态与中医证型的相关性研究

    黄雯晖周俊香

    福建医科大学附属宁德市医院中医科，福建宁德352100

    目的探讨腹泻型肠易激综合征(IBS-D)患者焦虑、抑郁状态与中医证型的相关性，为IBS-D治疗与心理调节提供依据。方法选取符合标准的250例IBS-D患者，根据中医证型将患者分为脾虚湿蕴证103例(A组)、肝郁脾虚证98例(B组)、脾肾阳虚证49例(C组)。由患者自行填写Zung抑郁自评量表(SDS)与焦虑自评量表(SAS)，统计并分析不同证型IBS-D患者抑郁与焦虑的情况。结果B组患者SDS、SAS评分均显著高于A组与C组(P<0.05)。B组患者中抑郁、焦虑以及抑郁合并焦虑状态患者均显著多于其他两组(P<0.05)。结论IBS-D患者存在明显的抑郁与焦虑状态，且其中肝郁脾虚型的患者尤为突出。

    腹泻型肠易激综合征；中医证型；抑郁；焦虑

    [Abstract]Objective To integrative correlation between TCM syndromes with anxiety and depression in patients with diarrhea irritable bowel syndrome(IBS-D)，to provide basis of clinical treatment and psychological adjustment.Methods 250 patients with IBS-D were chosen and divided into Spleen Deficiency with Dampness Syndrome of 103 cases(Group A)，Liver-depression and Spleen-deficiency Syndrome of 98 cases(Group B)and Spleen and Kidney Deficiency Syndrome of 49 Cases(Group C).The Zung self-rating depressive scale(SDS)and self-rating anxiety scale(SAS)were filled and the results were analyzed.Results The SDS and SAS scores of Group B were significantly higher than Group A and Group C(P<0.05).Depression ......