温州地区失眠患者中医证型分布规律和影响因素分析  

Analysis on Distribution Law and Relative Factors of Traditional Chinese Medical Syndromes for Patients with Insomnia in Wenzhou District

作　　者：戴春秀[1] 袁拯忠[1] 叶人[1] 赵娜[2] 何金彩[1] 林燕[3] 

机构地区：[1]温州医学院附属第一医院,浙江温州325000 [2]温州市中医院,浙江温州325000 [3]温州医学院附属第二医院,浙江温州325000

出　　处：《上海中医药大学学报》2012年第5期48-52,共5页Academic Journal of Shanghai University of Traditional Chinese Medicine

基　　金：温州市科技局科研基金资助项目(Y20110181)

摘　　要：目的:探讨温州地区失眠患者中医证型的分布规律和相关影响因素。方法:拟定《失眠中医证型调查表》,对失眠患者进行问卷调查,采用频数描述、非参数检验、单因素方差分析和对应分析等多种统计学方法研究温州地区失眠患者中医证型的分布规律和相关影响因素。结果:共纳入517例失眠患者,其中医证型按比例由多到少依次是心脾两虚型、阴虚火旺型、肝郁化火型、痰热内扰型、心胆气虚型和"其他证型",其中以心脾两虚和阴虚火旺2个证型最为常见。失眠患者中,女性多于男性(P<0.01);各个证型中除痰热内扰和"其他证型"外,其余证型均是女性多于男性,差异有统计学意义(P<0.01)。除"其他证型"外,其余证型间患者的平均年龄比较,差异均无统计学意义(P>0.05);21岁以下年龄段的失眠患者以痰热内扰型为主,21～30岁年龄段的失眠患者以心胆气虚型为主,31～40岁、41～50岁和51～60岁年龄段的失眠患者均以心脾两虚型为主,61～70岁年龄段的失眠患者以阴虚火旺型为主。研究生以上文化程度的失眠患者以心脾两虚型为主,大学本科、大专和高中或中专文化程度者均以肝郁化火型为主,初中及以下文化程度者以阴虚火旺型为主。未婚和丧偶者的失眠证型以肝郁化火型为主,已婚者的失眠证型以心脾两虚型为主,离异者的失眠证型以"其他证型"为主。结论:温州地区失眠患者的证型以心脾两虚和阴虚火旺为主,证型分布受到性别、年龄、文化程度和婚姻状况等因素的影响。Objective： To study the distribution law and relative factors of the traditional Chinese medical （TCM） syndromes for patients with insomnia in Wenzhou. Methods： The questionnaire on TCM syndromes of insomnia was established and 550 patients with insonmia in Weuzhou were surveyed. The statistical methods including frequency description, non-parametric test, ANOVA and correspondence analysis were applied to explore the distribution law and relative factors of the TCM syndromes for patients with insomnia in Wenzhou. Results： Five hundred and seventeen patients with insomnia were included. The TCM syndromes of patients with insomnia included heart-spleen deficiency syndrome, yin deficiency with fire syndrome, liver depression transforming into fire syndrome, internal disturbance of phlegm-heat syndrome, qi deficiency of heart-gallbladder syndrome, and other syndrome, and the heart-spleen deficiency and yin deficiency with fire were the common syndromes. The number of female patients was greater than male ones on the whole （ P 〈0.01 ） ; except the internal disturbance of phlegm-heat syndrome and other syndrome, the number of female patletts was more than male ones in the other syndromes （ P 〈0.01 ）. Except the other syndrome, there was no statistical difference on age between the other syndromes （ P 〉 0.05 ） ; the internal disturbance of phlegm-heat syndrome was the main syndrome in patients under 21 years old, the qi deficiency of heart-gallbladder syndrome was the main syndrome in patients from 21 to 30 years old, the heart-spleen deficiency syndrome was the main syndrome in patients from 31 to 60 years old, and the yin deficiency with fire syndrome was the main syndrome in patients from 61 to 70 years old. The heart-spleen deficiency syndrome was the main syndrome in patients with master degree or above, the liver depression transforming into fire syndrome was the main syndrome in patients with undergraduate, junior college, high school or special school degrees, and the yin deficiency w

关 键 词：失眠 证型分布 影响因素 中医学 

分 类 号：R256.23[医药卫生—中医内科学]