【作者】 梁小霞；

【导师】 李玉英；

【作者基本信息】 广州中医药大学 ， 中医学， 2011， 硕士

【摘要】 【目的】调查慢性便秘患者的心理状态情况,探讨不同证型慢性便秘患者的心理障碍差异性,有助于从中医辨证的角度了解慢性便秘患者心理障碍的情况,为进一步寻求治疗不同证型慢性便秘的心理辅助方法,以提高患者心理素质。【方法】将收集到的100例符合纳入标准的慢性便秘患者进行中医辨证分型,分为四个证型。对其进行一周来情绪及心理状态的问卷调查,使用SPSS 11.5进行统计处理,采用X2检验,比较不同证型之间心理障碍表现的差异性。【结果】1.研究发现,便秘患者存在一定的焦虑或抑郁倾向的心理障碍。在100位患者中,诊断有焦虑倾向的有39人,占总人数的39%,其中轻度焦虑者26人(26%)；中度焦虑者13人(13%)；诊断有抑郁倾向的有59人,占总人数的59%,其中轻度抑郁者44人(44%),中度抑郁者15人(15%)。2.热秘型、气秘型、虚秘型、冷秘型四个不同证型的便秘发病率有差异,其中冷秘型发病率远远低于其它的三种类型,推测与南方的气候、南方人的体质及现代人的饮食习惯、生活作息在习惯息息相关。3.通过对四个不同证型的患者进行出现焦虑、抑郁倾向的心理障碍表现进行X2检验,发现焦虑、抑郁倾向发病率存在证型差异(P<0.05),进一步进行两两比较,发现热秘证患者比气秘证和热秘证患者比虚秘证更倾向于出现焦虑倾向的心理状态,气秘证患者则比热秘证患者更容易出现抑郁倾向的心理状态(P均<0.008)【结论】1.在南方,便秘的冷秘证发病率较其它证型都要低。2.便秘的不同中医证型导致的心理障碍倾向也有所不同,热秘组患者比气秘组、热秘组患者比虚秘组更倾向于出现焦虑倾向的心理状态；而气秘组患者比热秘组患者更容易出现抑郁倾向的心理状态。3.为提高便秘患者的身心健康,需医患两者共同努力,患者需调动自身的积极性,遵从医生的指导,改变不良的饮食结构、不良的生活作息时间及排便习惯,作适当的户外活动,并自行进行相关的心理疗法。更多还原

【Abstract】 Object i ve:Investigate the psychological status of patients with chronic constipation cases, investigate different syndromes of chronic constipation difference between the psychological barriers, That would Help from the perspective of TCM in patients with chronic constipation and psychological barriers.In order to seek further treatment of chronic constipation with different syndromes psychological support methods, and improve the psychological quality of patients.Method:To collect the 100 patients met the inclusion criteria for chronic constipation in patients with syndrome differentiation type, divided into four syndromes. Patients a week of emotional and psychological survey,conducted using the SPSS 11.5 statistical processing,by X2 test, comparison of psychological barriers between the different syndromes performance differences.Result:1. Study found that patients with constipation, there is a certain tendency to anxiety or depression, psychological disorders. In the 100 patients diagnosed with anxiety tend to have 39 people,39% of the total number, of which mild anxiety,26 (26%); moderate anxiety,13 (13%);Diagnosed with depression tend to have 59 people,59% of the total number, of which mild depression in 44 (44%), moderate depression,11 (11%).2. Hot type, gas type, virtual type, cold type constipation, this four different syndromes differencein incidence of constipation, cold constipation in which the lowest incidence of type. Speculate it closed related with the Southern climate, the physical and the modern southerners eating habits and lifestyle in the habit3. By four different syndromes of anxiety and depression tend to occur in patients with mental disorders X2 performance tests and found that the incidence of anxiety and depression tend to exist between syndromes (P <0.05). Pairwise comparison further, Hot constipation group patients are more likely than the gas tend and the virtual type to the psychological state of anxiety. Compare to the hot type, the patients with constipationgas of virtual type were more likely to tend to the psychological state of depression. (P all<0.008).Conclusion:1. In the south, to hot constipation in patients with constipation-type majority.2.Constipation caused by the different syndromes are different psychological tendencies.Hot constipation group patients are more likely than the gas tend and the virtual type to the psychological state of anxiety. Compare to the hot type, the patients with constipationgas of virtual type were more likely to tend to the psychological state of depression.3.In order to improve constipation in patients with physical and mental health, both doctors and patients need to work together, Patients should follow the doctor’s recommendations, change the bad diet, bad lifestyle time and the bad bowel habits,do more exercise, and the psychological treament if it need.更多还原