本文選題：慢性疲勞綜合征 + 抑郁癥　； 參考：《中國康復(fù)理論與實(shí)踐》2014年06期

【摘要】：目的分析研究慢性疲勞綜合征(CFS)與輕中度抑郁癥、焦慮癥患者疲勞特征及抑郁、焦慮癥狀的差異。方法運(yùn)用疲勞量表-14(FS-14)、漢密爾頓抑郁量表(HAMD)和漢密爾頓焦慮量表(HAMA)對182例CFS及輕中度抑郁癥、焦慮癥患者進(jìn)行測評及統(tǒng)計(jì)分析。結(jié)果三組患者在軀體疲勞程度、精神疲勞程度及疲勞總分各方面均無顯著性差異(P0.05);CFS組患者可能有抑郁癥狀的患者為39例(62.9%),伴有輕中度抑郁癥狀的患者為23例(37.1%),未發(fā)現(xiàn)肯定沒有抑郁癥狀的患者;CFS組患者可能有焦慮癥狀的46例(74.2%),肯定有焦慮癥狀的16例(25.8%),未發(fā)現(xiàn)肯定沒有焦慮癥狀的患者;CFS組HAMD總分顯著低于輕中度抑郁癥組(P0.001),兩組在焦慮/軀體化、阻滯兩因子中有非常顯著性差異(P0.01),在認(rèn)識障礙、日夜變化、絕望感各因子中有顯著性差異(P0.05)。CFS組HAMA總分顯著低于輕中度焦慮癥組(P0.001),兩組在精神性焦慮方面有非常顯著性差異(P0.01),在軀體性焦慮各方有顯著性差異(P0.05)。結(jié)論 CFS與輕中度抑郁癥、焦慮癥三組患者在臨床中均表現(xiàn)為"郁"與"疲"的同時存在,在臨床癥狀的表現(xiàn)上存在著一定的"相互重疊"現(xiàn)象。
[Abstract]:Objective to study the difference between chronic fatigue syndrome (CFS) and mild to moderate depression and anxiety.Methods A total of 182 patients with CFS and mild to moderate depression and anxiety were assessed and statistically analyzed by using fatigue scale -14 (FS-14), Hamilton Depression scale (Hamd) and Hamilton anxiety scale (Hama).Results the degree of somatic fatigue in the three groups,There was no significant difference in the degree of mental fatigue and the total score of fatigue in all aspects. In the CFS group, there were 39 patients with depression and 23 patients with mild and moderate depressive symptoms.There were 46 patients with anxiety symptoms in group A and 16 patients with certain symptoms of anxiety. The total score of HAMD in patients without anxiety symptoms was significantly lower than that in patients with mild to moderate depression (P 0.001), and anxiety / somatization was found in both groups.There is a very significant difference between the two factors of blocking P0.01, which changes in cognitive impairment, day and night,The total score of HAMA in the group of hopelessness was significantly lower than that in the group of mild to moderate anxiety disorder (P 0.001). There was a very significant difference in mental anxiety between the two groups (P 0.01), and there was a significant difference between the two groups in terms of somatic anxiety (P 0.05).Conclusion the clinical manifestations of CFS and mild to moderate depression and anxiety disorder are both "depression" and "fatigue", and there is a certain overlap in the clinical symptoms.
【作者單位】： 上海中醫(yī)藥大學(xué)附屬岳陽醫(yī)院中醫(yī)內(nèi)科;上海中醫(yī)藥大學(xué);
【基金】：國家自然基金項(xiàng)目(No.81173227) 國家中醫(yī)藥管理局“十二五”中醫(yī)藥重點(diǎn)學(xué)科建設(shè)“中醫(yī)治未病學(xué)”項(xiàng)目 上海市中醫(yī)藥事業(yè)發(fā)展三年行動計(jì)劃(傳統(tǒng)醫(yī)學(xué)示范中心建設(shè)項(xiàng)目)(No.ZYSNXD-YL-CTXK) 上海岳陽醫(yī)院慢性疲勞綜合征重點(diǎn)專病建設(shè)項(xiàng)目
【分類號】：R749.4

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【共引文獻(xiàn)】

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1 彭偉;蘇靜;許琦;王琪s，

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