冬春季失眠症患者肝经症状及情绪变化规律研究

目的探讨冬春季失眠症患者情绪及肝经症状的变化规律。方法分别于冬春两季选择失眠症患者各150例,采用中医肝脏象情绪量表、HAMA(焦虑)量表、HAMD(抑郁)量表测定情绪情况,同时观察肝经症状。结果春季组中医肝脏象情绪量表积分≥31者占54.67%,明显高于冬季组的43.33%(χ2=3.855,P=0.032)。春季组与冬季组比较,肝经因子(Z=2.322,P=0.003)、焦虑因子(Z=1.576,P=0.016)、总积分(Z=-2.022,P=0.043)及HAMA积分(Z=-2.406,P=0.016)差异有统计学意义(P0.05)。结论季节对失眠症患者的情绪问题及肝经症状具有显著的影响,春季发病患者焦虑情绪及肝经症状均较冬季发病患者明显;提示失眠症患者春季的肝脏疏泄功能强于冬季,冬季发病患者治疗应以温肝疏肝为主,而春季发病患者则应注重平肝抑肝。

Research on changes of liver meridian symptoms and emotion of insomniacs in the winter and spring

Objective To observe the changes of liver meridian symptoms and emotion of insomniacs in the winter and spring. Methods One hundred aad fifty insomniacs were enrolled in winter and spring. We observed the changes of their liver meridian symptoms and emotion by ERSG, HAMA and HAMD. Results The percent of ERSG score is equal or more than 31 is 54.67% in spring group, which is higher than 43.33% of the winter group （X2 = 3. 855, P = 0. 032 ）. Compared spring group with winter group, there were significant differences in the liver factor （ Z = 2. 322, P = 0. 003 ）, anxiety factor （ Z = 1. 576, P = 0. 016）, total score （Z= -2.022, P=0.043） and HAMA score （Z= -2.406, P=0.016） （P〈0.05）. Conclusion The two seasons： winter and spring can influence the liver meridian symptoms significantly. In spring the anxiety and liver meridian symptoms are obvious than in winter. It indicates that convey and disperse functions of liver in spring are better than that of in winter. So warming and soothing liver in winter, calming and repressing liver in spring are the therapeutic principles.