Study On The Correlation Between Anxiety And Depression And Liver Depression Syndrome And Its Complex Syndrome Elements In Patients With Hysteromyoma

Objective: Through theoretical discussion and clinical observation,we can understand the correlation between liver depression and mixed syndrome elements and anxiety and depression emotion of patients with liver depression syndrome of hysteromyoma.Under the influence of different anxiety and depression emotion,we can make clear the difference of liver depression syndrome and mixed pathological syndrome elements and integral of patients with liver depression syndrome of hysteromyoma,so as to provide basis for clinical diagnosis and treatment of hysteromyoma,and discuss the clinical value reflected by the results Value.Methods: In the early stage,we mainly studied the theory and related literature to understand the correlation between the liver depression and the mixed syndrome elements and anxiety and depression.In the later stage of clinical observation,220 cases of hysteromyoma patients collected from January to December 2019 were collected for four diagnostic information collection.The syndrome differentiation method was used to analyze the syndrome differentiation of liver qi stagnation and syndrome differentiation of liver qi stagnation in hysteromyoma patients.Finally,184 cases of patients with liver qi stagnation and syndrome differentiation of liver qi stagnation in hysteromyoma patients were screened If the score of each syndrome element ? 100,it is determined as the syndrome element of liver depression and miscellaneous syndrome,and included in the statistical analysis.Then through the collection of hospital anxiety and Depression Scale(HADS),we get the score of anxiety and depression of patients with liver depression syndrome of hysteromyoma,and determine the situation of anxiety and depression of patients with hysteromyoma.According to the scores of anxiety and depression,anxiety,depression positive negative groups and different emotional groups were divided.By using statistical analysis,the differences of liver depression and its syndrome element scores in different groups and emotions of patients with liver depression of uterine fibroids were compared,and the correlation between liver depression and its mixed syndrome element and anxiety and depression in patients with uterine fibroids was discussed.Results:1.The distribution of liver depression and miscellaneous syndrome elements in patients with hysteromyoma and liver depression: the first three syndrome elements in the disease location were the uterus,kidney and spleen;the first three syndrome elements in the solid disease location were blood stasis,phlegm and dampness;the first three syndrome elements in the deficiency were Yin deficiency,Qi deficiency and blood deficiency.2.The distribution of anxiety and depression in patients with liver depression syndrome of uterine leiomyoma: among 184 patients with liver depression of uterine leiomyoma,there were 51 patients with anxiety alone,accounting for 27.72% of the total cases,and 27 patients with depression alone,accounting for 14.67% of the total cases.There were 20 cases of anxiety and depression,accounting for 10.87% of the total cases.86 cases of hysteromyoma and liver depression without anxiety and depression accounted for 46.74% of the total cases.3.Comparison between the positive group and the negative group in anxiety and depression of patients with liver depression of hysteromyoma: the area of uterus,liver and kidney in the positive group(anxiety patients + common anxiety and depression patients)was higher than that in the negative group(depression patients + normal emotion patients),in which the score of uterus,liver(P < 0.01),kidney(P < 0.05);in the syndrome of qi stagnation,blood stasis,yin deficiency The scores of qi deficiency,blood deficiency were higher than those of anxiety negative group,among which the scores of qi deficiency(P < 0.05),qi stagnation,blood stasis,blood deficiency and yin deficiency(P < 0.01).In depression positive group(depressive patients + patients with common anxiety and depression),the score of the two disease positions of liver and mind is higher than that of depression negative group(anxiety patients + patients with normal emotions),in which the score of heart and mind is higher(P <0.05),liver is higher(P < 0.01);in depression positive group,the score of the disease solid syndrome elements of qi stagnation and blood stasis is higher than that of depression negative group,in which the score of blood stasis is higher(P < 0.05),There was no difference in the syndrome elements of deficiency of disease.4.Comparison of syndrome elements in different emotions of patients with hysteromyoma and liver depression: the area scores of anxiety emotion group were higher than that of patients without anxiety depression group(P < 0.01);the scores of disease syndrome elements in Qi stagnation,blood stasis,heat,yin deficiency and blood deficiency were higher than those of patients without anxiety depression group,including qi stagnation,blood stasis,yin deficiency(P < 0.01),blood deficiency and heat(P < 0.05).In the depression group,the area of disease location and liver prescription was higher than that in the non anxiety and depression group(P < 0.01);in the disease-related solid syndrome element qi stagnation and blood stasis,the scores were higher than that in the non anxiety and depression group,including qi stagnation score(P < 0.01),blood stasis score(P < 0.05),and there was no difference in the disease-related deficiency syndrome element.The area of the uterus,liver,spleen and kidney in the group with anxiety and depression was higher than that in the group without anxiety and depression(P < 0.01),in which the score of the uterus,liver,spleen and kidney was higher(P < 0.05);the score of qi stagnation,blood stasis,Qi deficiency and blood deficiency in the group with solid syndrome were higher than that in the group without anxiety and depression(P < 0.01).5.The relationship between anxiety and depression in patients with liver depression syndrome of hysteromyoma and syndrome elements of liver depression syndrome: there is no correlation between anxiety and syndrome elements of liver depression syndrome of hysteromyoma.There was a positive correlation(P < 0.01)between depression and the cold syndrome elements of liver depression and miscellaneous syndrome elements in the syndrome element cold(P < 0.01);there was no correlation between depression and the syndrome elements of liver depression and miscellaneous syndrome elements in the disease position.Conclusion:1.The patients with hysteromyoma and liver depression syndrome are mainly characterized by uterus,kidney and spleen,and the main diseases are blood stasis,phlegm,dampness,yin deficiency,Qi deficiency and blood deficiency.2.Anxiety and depression accounted for a certain proportion in patients with liver depression syndrome of hysteromyoma.There is no significant correlation between anxiety and syndrome elements of liver depression and miscellaneous syndromes in patients with liver depression of uterine fibroids.There is a correlation between depression and cold syndrome elements in patients with liver depression of uterine fibroids,which needs further study.3.The patients with hysteromyoma and liver depression have more serious anxiety or depression,and the pathological changes of viscera,Qi,blood and body fluid are more serious,which shows that there is a correlation between them.