失眠人群体质分布特点及其对睡眠质量的影响  

Distribution Characteristics of Insomnia Population and Its Influence on Quality of Sleep

作　　者：江心灿 张健 赵宇昊[1] JIANG Xin-can;ZHANG Jian;ZHAO Yu-hao(School of Chinese Medicine,Capital Medical University,Beijing 100069,China;Beijing Traditional Chinese MedicineHospital,Capital Medical University,Beijing 100010,China)

机构地区：[1]首都医科大学中医药学院,北京100069 [2]首都医科大学附属北京中医医院,北京100010

出　　处：《医学信息》2020年第3期115-116,119,共3页Journal of Medical Information

摘　　要：目的观察原发性失眠患者中医体质分布特点,探讨不同体质对睡眠质量的影响,为失眠的临床防治提供参考。方法选取2018年9月~2019年6月我院收治的160例失眠患者作为观察组,另选取同期30名非失眠人群作为对照组,采用王琦九种体质测评量表评估两组体质,匹兹堡睡眠质量指数量表(PSQI)评估睡眠质量,分析两组中医体质分布特点及不同体质对睡眠质量的影响。结果观察组平和质占比低于对照组(4.38%vs 90.00%),偏颇质占比高于对照组(95.62%vs 10.00%),差异有统计学意义(P<0.05);观察组主要以气虚、阳虚、气郁质为主,占比分别为27.50%、19.38%、15.63%;观察组气虚、阳虚及气郁质患者PSQI评分均高于阴虚质患者,差异有统计学意义(P<0.05)。结论失眠人群的中医体质多为偏颇质,分布以气虚、阳虚及气郁为主,同时气虚、阳虚及气郁三种体质对患者睡眠质量影响较大。Objective To observe the physical distribution characteristics of traditional Chinese medicine in patients with primary insomnia,to explore the influence of different constitutions on sleep quality,and to provide a reference for the clinical prevention and treatment of insomnia.Methods 160 patients with insomnia treated in our hospital from September 2018 to June 2019 were selected as the observation group,and 30 non-insomniacs in the same period were selected as the control group.Nine types of physical fitness assessment scales of Wang Qi were used to evaluate the physical fitness of the two groups and the quality of sleep in Pittsburgh An index scale(PSQI)assesses sleep quality,analysis of the distribution characteristics of TCM constitutions and the influence of different constitutions on sleep quality in the two groups.Results The proportion of peace and quality in the observation group was lower than that in the control group(4.38%vs 90.00%),and the proportion of biased quality was higher than that in the control group(95.62%vs 10.00%),the difference was statistically significant(P<0.05);Patients with qi deficiency,yang deficiency,and qi stagnation were mainly 27.50%,19.38%,and 15.63%of the patients in the observation group.The PSQI scores of qi deficiency,yang deficiency and qi depression constitution patients in observation group were higher than those of yin deficiency constitution,the difference was statistically significant(P<0.05).Conclusion TCM constitutions of insomniac populations are mostly biased,and the distribution is mainly qi deficiency,yang deficiency and qi stagnation.At the same time,qi deficiency,yang deficiency and qi stagnation have a greater impact on patients'sleep quality.

关 键 词：失眠 中医体质 睡眠质量 

分 类 号：R256.23[医药卫生—中医内科学]