乳腺癌伴发抑郁焦虑患者的中医证型分析

目的 调查乳腺癌患者伴发的抑郁焦虑与中医证型的关系.方法 对248例乳腺癌患者采用抑郁自评量表(SDS)及焦虑自评量表(SAS)评估,对其中符合抑郁焦虑诊断的157例患者进行中医辨证分型,研究不同年龄阶段、不同病程、不同疾病分期患者的中医证型特点.结果乳腺癌患者中伴有抑郁焦虑情绪占63.31%,其中抑郁患者以肝郁痰凝型最高(占46.94)%,焦虑患者以正虚毒炽型最高(占42.86%);不同年龄、不同病程、不同分期的患者伴发抑郁焦虑的证型构成比差异有统计学意义(P＜0.01).结论 乳腺癌患者存在较高的抑郁焦虑情绪,肝郁痰凝型和正虚毒炽型与抑郁焦虑发生关系密切.

Analysis on the TCM Syndromes of Accompanied Depression and Anxiety in the Breast Cancer Patients

Objective To investigate the TCM syndromes of depression and anxiety in the breast cancer patients.Methods The 248 breast cancer patients were evaluated with Self-rating Depression Scale(SDS)and Self-Rating Anxiety Scale(SAS).Those 157 who were diagnosed depression and anxiety were differentiated with TCM diagnostics according to their different ages,different courses and stages of disease in order to find out their TCM syndromes' characteristics.Results There were 63.31% breast cancer patients accompanied with depression and anxiety,of which,the depression cases had liver stagnation with phlegm retention,occupying 46.94%,and the anxiety cases had antipathogenic qi deficiency with heat-toxin stasis,occupying 42.86%;there was a significant difference in syndrome structure in different ages,different courses and stages of disease of patients(P＜0.01).Conclusion Breast cancer patients have depression and anxiety emotions,the syndromes of liver stagnation with phlegm retention and antipathogenic qi deficiency with heat-toxin stasis are closely related with the occurrence of depression and anxiety.