作　　者： (杨玉兴）; (权元文）; (杨艳斐）; (尹榕）; (林通）; (郭建魁）;

机构地区： 兰州军区总医院

出　　处： 《中华中医药杂志》 2017年第8期3833-3836,共4页

摘　　要： 目的:研究老年抑郁症(GD)患者临床表现及中医证候特征。方法:确诊120例GD患者,测评患者一般情况调查表、抑郁自评量表(SDS)、汉密尔顿抑郁量表(HAMD,24项)和中医证候特征量表,对发病相关因素进行分析;并对常见中医证候特征进行了归纳。结果:GD患者SDS分显著高于全国常模(P<0.01),抑郁症发生率为19.97%,以轻、中度为主,发病与文化程度、是否有负性生活事件及是否伴随躯体疾病相关;最常见的症状是抑郁情绪,其次为早醒、工作和兴趣、睡眠不深、全身症状、能力减退感。结论:GD发生率较高,具有独特的临床表现和中医证候特征,临床应加以辨识。 Objective: To study the symptoms and TCM syndrome characteristics of 120 patients with geriatric depression(GD). Methods: A total of 120 cases of GD patients were individually and respectively assessed by a general condition questionnaire, Self-Rating Depression Scale(SDS), Hamilton Rating Scale for Depression(HAMD, 24 items) and TCM syndrome characteristics scale. Then, the risk factors were analyzed. Then, the characteristics of common TCM syndromes were summarized. Results: SDS scores of GD patients were significantly higher than those of the national norm(P<0.01). The incidence of GD was 19.97% and the incidence of GD mainly presented mild to severity. The incidence of GD correlated with education, negative life events and physical illnesses. The most common symptoms included depression, followed by early wake up, work and interest, systemic symptoms and ability to sense. Conclusion: The incidence of depression was very high among the elderly population, and the clinical manifestations and TCM syndrome characteristics were unique that should be identified in clinical work.

关 键 词： 老年抑郁症 抑郁量表 临床表现 中医 证候