自然流产患者的心理状态、个性特征与中医证候相关性的研究

[目的]研究自然流产患者的心理状态，个性特征与中医证候的相关性。[方法]使用症状自评量表、心理健康测量表，艾森克个性问卷、中医证候诊断问卷对自然流产患者进行心理状态，个性特征和中医证候方面的问卷调查分析。使用Logstic回归分析的方法分析自然流产患者心理状态，个性与中医证候之间的相关性。[结果]在自然流产患者中，躯体化因子与肾虚、脾虚、血热、肝郁均有较强的正相关联系，敌对因子与肾虚，强迫因子与肝郁正相关；抑郁质倾向的患者较易出现肾虚，脾虚、肝郁证，胆汁质倾向的患者较易出现血热证、肝郁证。[结论]肾虚、脾虚、血热、肝郁等证候表现至少部分地是由心理因素所引起的心身反应或心身紊乱；抑郁质倾向的自然流产患者较易出现肾虚，脾虚、肝郁表现，胆汁质倾向的患者较易出现血热、肝郁质倾向的自然流产患者较易出现肾虚、脾虚、肝郁表现，胆汁质倾向的患者较易出现血热、肝郁表现；初步显示了中医证候类型与个性特征，异常心理状态之间的某些相关性。提示特定的气质类型，情志因素与脏腑之间可能具有内在联系。

Relationship of Mental Status, Personality Characteristics with TCM Syndromes of Spontaneous Abortion

Objective To investigate the relationship of mental status,personality characterstics and TCM syndromes of spontaneous abortion(SA).Methods Symptom Checklist 90,Measure of Mental Health,Eysenck Personality Questionnaire and Diagnostic Questionnaire of TCM syndromes were adopted.Multifactorial analysis was fitted by non-conditional logistic regression model.Results In patients with SA,a positive correlation of somatization factors and kidney dificiency,spleen deficiency,blood heat and liver-qi stagnation.A positive correlation was also found between hostility factors and kidney deficiency,obsessive-compulsive factors and liver-qi stagnation.Patients with melancholic temperament tended to manifest as the syndromes of kidney deficiency,spleen deficiency and liver-qi stagnation,and choleric temperament tended to manifest as blood heat and liver-qi stagnation.Conclusion The syndromes of kidney deficiency,spleen deficiency,blood heat and liver-qi stagnation at least partially reflect the psychosomatic reaction or psychosomatic disorder induced by mental factors.TCM syndromes has a relationship with mental status and personality characteristics.The nature of their relationship needs to be studied further.