149例青年女性慢性失眠患者中医证型及临床特点回顾性分析  

TCM clinical retrospective analysis of 149 young female patients with chronic insomnia

作　　者：常中飞 骆佳莹 王煜童 付丽娟 乔丹妹 郭俊宏 Chang Zhongfei;Luo Jiaying;Wang Yutong;Fu Lijuan;Qiao Danmei;Guo Junhong(Department of Traditional Chinese Medicine of Shijingshan Hospital of Shijingshan Teaching Hospital,Capital Medical University,Beijing 100043;Department of Integrated Chinese and Western Medicine,Capital Medical University,Beijing 100050;Grade 2018,5-year clinical medical student,Beijing 100043)

机构地区：[1]首都医科大学石景山教学医院北京市石景山医院中医科,北京100043 [2]首都医科大学中西医结合学系,北京100050 [3]首都医科大学,北京100043

出　　处：《山西中医药大学学报》2022年第6期549-553,共5页Journal of Shanxi University of Chinese Medicine

基　　金：首都医科大学学生科研创新计划项目(XSKY2021401)。

摘　　要：目的:分析青年女性慢性失眠患者的常见中医证型及临床特点。方法:运用回顾性分析,对149例青年女性慢性失眠患者的中医四诊资料进行辨证分型、伴随疾病及临床特点的分析。结果:149例青年女性慢性失眠患者中属于阳证(包括肝火扰心型和痰热扰心型)95例(63.76%),阴证(包括心脾两虚型、心肾不交型和心胆气虚型)54例(36.24%);阳证患者中以肝火扰心证最多见,占全部病例的53.02%(79/149),阴证患者以心肾不交证多见,占16.11%(24/149)。青年女性慢性失眠中最常见的伴随疾病/症状前5位分别是:月经不调(66/149,44.3%)、多梦(58/149,38.93%)、胃肠功能紊乱(39/149,26.17%)、肥胖(38/149,25.50%)及心悸(29/149,19.46%)。失眠伴随多梦者58例,其中肝火扰心型最常见(20/58,34.48%),其次为心肾不交型(14/58,24.14%)。结论:青年女性慢性失眠患者阳证居多,阳证以肝火扰心证多见;阴证以心肾不交证多见。最常见的伴随疾病/症状分别是月经不调、多梦、胃肠功能紊乱、肥胖及心悸。Objective:To analyze the common TCM syndrome types and clinical characteristics of young female patients with chronic insomnia.Methods:By retrospective analysis,the syndrome differentiation based on the four diagnosis data,concomitant diseases and clinical characteristics of 149 young female patients with chronic insomnia were analyzed.Results:Among 149 young female patients with chronic insomnia,95 cases(63.76%)had yang-syndrome(including liver fire disturbing heart and phlegm-heat disturbing heart),and 54 cases(36.24%)had yin-syndrome(including deficiency of heart and spleen,disharmony between heart and kidney and deficiency of heart-qi and gallbladder-qi);in patients with yang-syndrome,liver fire disturbing heart was most common,accounting for 53.02%(79/149)of all cases,while in patients with yin-syndrome,disharmony between heart and kidney was most common,accounting for 16.11%(24/149).The top 5 most common concomitant diseases/symptoms of chronic insomnia in young women were:irregular menstruation(66/149,44.3%),dreaminess(58/149,38.93%),gastrointestinal dysfunction(39/149,26.17%),obesity(38/149,25.50%)and palpitation(29/149,19.46%).Among the 58 cases of insomnia accompanied by dreaminess,liver fire disturbing heart syndrome was the most common(20/58,34.48%),followed by disharmony between heart and kidney syndrome(14/58,24.14%).Conclusion:Yang-syndrome is predominant in young female patients with chronic insomnia and among yang syndromes,liver fire to disturbing heart is more common;among yin syndromes,disharmony between heart and kidney is more common.The most common concomitant diseases/symptoms are irregular menstruation,dreaminess,gastrointestinal dysfunction,obesity and palpitation.

关 键 词：慢性失眠 中医证型 症状 临床流行病学调查 

分 类 号：R740[医药卫生—神经病学与精神病学]