【摘要】 目的探讨抑郁症中医证候汉密顿抑郁量表 (HDS)因子分的变化情况 ,为研究证候的情绪特征提供依据。方法对抑郁症单、双相障碍 7个亚型 1 95 1例抑郁症患者进行中医辨证和HAMD测量 ,比较各证型的HAMD因子分。结果抑郁症肝郁痰阻证、心脾两虚证、肝肾阴虚证、肝郁血瘀证、肝胆气虚证和脾肾阳虚证HAMD总分显著高于肝郁气滞证。兼有脾虚或血瘀证的因子 2的分值显著高于肝郁气滞证。因子 5的分值以脾肾阳虚为最高。结论抑郁症各证型的HAMD总分及因子分变化 ,反映了不同证候患者的抑郁情绪的轻重程度各异及某些情绪特征更多还原

【Abstract】 ?Objective To investigate the change of the factor scores of Hamilton Depression Scale (HDS)among cases with various patterns of depression to provide a reference for the research on emotion character of TCM patterns. Methods 1951 patients with depression, including 7 sub types of monopolar and bipolar conditions, were classified into different patterns and evaluated by the HDS. Then,the factor scores were compared with each other. Results The total scores of HDS in hepatic stagnation and retention of phlegm,cardiosplenic asthenia,hepatic and renal Yin deficiency,insufficiency of liver and gallbladder Qi and asthenia splenonephroyang were significantly higher than that of hepatic stagnation. The scores of factor 2 among patients with splenasthenia or blood stasis patterns were significantly higher than that of hepatic stagnation. The scores of factor 5 among cases with asthenia splenorenal yang were the highest of all the TCM patterns. Conclusion The changes of total HDS scores and factor scores among different TCM patterns of depression reflect the different degrees of depression and some emotional characteristics. 〔更多还原