肝阳上亢证与相关证情绪状态测量的对比研究

目的探讨肝阳上亢证患者的情绪状态特征，以指导临床进行心理干预。方法从病证结合的角度选择226例高血压与偏头痛患者，根据同病异证、异病同证的要求分为肝阳上亢证组、对照组为肝郁气滞证、肝肾阴虚证组、健康人对照组，采用中医肝脏象情绪量表（ERSG）对各组进行情绪测量。结果肝阳上亢证、肝郁气滞证、肝肾阴虚证患者ERSG测值各项积分均明显高于健康人对照组（P〈0．01）；ERSG肝阳上亢证肝经维度积分明显高于肝郁气滞证对照组、肝肾阴虚证对照组（P〈0．01），但肝郁气滞证组与肝肾阴虚证组差异无统计学意义（P〉0．05）；肝阳上亢证组ERSG总分均明显高于肝肾阴虚证对照组，差异有显著性（P〈0．01），其焦虑维度积分明显高于肝郁气滞证对照组及肝肾阴虚证对照组，差异有显著性（P〈0．01），肝郁气滞证对照组、肝肾阴虚证对照组抑郁维度明显高于肝阳上亢证组，差异有显著性（P〈0．01、P〈0．05）。结论肝阳上亢证、肝郁气滞证及肝肾阴虚证患者均有不同程度的焦虑、抑郁情绪状态；肝阳上亢证具有明显的肝经定位症状；肝阳上亢证组的焦虑程度显著高于对照组肝郁气滞证、肝肾阴虚证。说明肝阳上亢证患者以焦虑情绪状态为主。

Comparative Study on Emotional Characteristics Measurement between Hyperhepatic Yang Syndrome and Correlative Syndrome

Objective To explore the emotional characteristics of patients with hyperhepatic Yang syndrome for clinical psychological intervene.Methods 266 patients with hypertension or migraine were selected and diagnosed by western medicine and traditional Chinese medicine(TCM).They were divided into three groups including hyperhepatic Yang syndrome group,hepatic depression syndrome control group and deficiency of hepatic and renal Yin syndrome control group.And 46 health persons acted as health control group.Their emotion state were measured with Emotions Rating Scale for Ganzangxiang of traditional Chinese medicine(ERSG).Results 1.All the accumulating scores of dimension in ERSG of all patients were significantly higher than that of the controls(P<0.01).2.The scores of Ganjing dimension in ERSG were higher in patients with hyperhepatic Yang syndrome than that in the patients with hepatic depression syndrome and deficiency of hepatic and renal Yin syndrome.The scores of Ganjing dimension were similar in patients with hepatic depression syndrome and deficiency of hepatic and renal Yin syndrome.3.When comparation were carried out in the patients with hypertension and migraine,the scores of hyperhepatic Yang syndrome in ERSG were significantly higher than that of deficiency of hepatic and renal Yin syndrome(P<0.01).Anxiety level of the patients with hyperhepatic Yang syndrome was higher than that of the patients with hepatic depression syndrome and deficiency of hepatic and renal Yin syndrome(P<0.01).Depression level of the patients with hepatic depression syndrome and deficiency of hepatic and renal Yin syndrome was higher than that with hyperhepatic Yang syndrome(P<0.01,P<0.05).Conclutions 1.All the patients with hyperhepatic Yang syndrome,hepatic depression syndrome and deficiency of hepatic and renal Yin syndrome have significant anxiety and depression characteristics.2.The patients with hyperhepatic Yang syndrome have obvious oriented symptoms.3.The patients with hyperhepatic Yang syndrome manifested higher anxiety level than that with hepatic depression syndrome and deficiency of hepatic and renal Yin,which shows that the patients with hyperhepatic Yang syndrome are characterized by significant anxiety.