基于因子分析探讨失眠症中医证候特征  

Exploration in TCM Syndrome Characteristics of Insomnia Based on Factor Analysis

作　　者：高毅东 黄俊山 尹鹭峰 张瑜 张娅 曾雪爱 梁琛 易泳鑫 GAO Yidong;HUANG Junshan;YIN Lufeng;ZHANG Yu;ZHANG Ya;ZENG Xueai;LIANG Chen;YI Yongxin(The Third Affiliated People’s Hospital of Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China;The Inheritance Studio of Fujian Famous Traditional Chinese Medicine Expert HUANG Junshan, Fuzhou 350122, China;Fujian Academy of Chinese Medical Sciences, Fujian Key Laboratory of Sleep Medicine of Traditional Chinese Medicine, Fuzhou 350003, China)

机构地区：[1]福建中医药大学附属第三人民医院,福建福州350122 [2]黄俊山福建省名老中医药专家传承工作室,福建福州350122 [3]福建省中医药科学院福建省中医睡眠医学重点实验室,福建福州350003

出　　处：《中医药学报》2022年第1期75-79,共5页Acta Chinese Medicine and Pharmacology

基　　金：国家科技部重点研发计划项目(2018YFC1705600);国家自然科学基金项目(81774285);福建省教育厅中青年教师教育科研项目(JAT190271)。

摘　　要：目的:探讨失眠症中医证候特征。方法:纳入福建中医药大学附属单位收集的失眠症患者,收集其一般社会学资料、相关量表评分(PSQI、SAS、SDS)、中医四诊信息,应用因子分析方法进行证候要素提取,分析证候分布特点。结果:收集完整病例资料477例,失眠症以中青年女性、慢性失眠为多,因子分析显示失眠症主要证型为肝郁脾虚证、心胆气虚证、肾虚证、脾虚证,分别占比23.48%、20.96%、17.61%、15.72%;失眠常见主症为入睡困难、早醒、神疲乏力、时睡时醒、精神不振,分别占比78.8%、62.9%、61.4%、50.1%、49.7%。结论:肝、脾、心、胆、肾的生理功能、病理状态与失眠的发生、发展密切相关。Objective:To explore the TCM syndrome characteristics of insomnia.Methods:Patients with insomnia collected by affiliated units of Fujian University of Traditional Chinese Medicine were included in this study,the general sociological data,relevant scale scores(PSQI,SAS,SDS)and four diagnosis information of traditional Chinese medicine were collected,and factor analysis was used to extract syndrome elements and analyze syndrome distribution characteristics.Results:477 complete cases were collected.Insomnia mostly occurred in young and middle-aged women and chronic insomnia dominated.Factor analysis showed that the main patterns of insomnia were Liver depression and Spleen deficiency,Qi-deficiency of Heart and Gallbladder,Kidney deficiency,as well as Spleen deficiency,which accounted for 23.48%,20.96%,17.61%and 15.72%,respectively.The common main symptoms of insomnia were difficulty in falling asleep,early awakening,fatigue,frequent awakening during sleep and lack of energy,which accounted for 78.8%,62.9%,61.4%,50.1%and 49.7%,respectively.Conclusion:The physiological function and pathological state of Liver are closely related to the occurrence and progress of insomnia.

关 键 词：失眠症 因子分析 证候 肝 

分 类 号：R256.23[医药卫生—中医内科学]