关于阴虚阳亢型丑时不寐患者的临床观察  

Clinical Observation on Patients with Choushi Insomnia with Syndrome of Yin Deficiency and Yang Hyperactivity

作　　者：庞硕 张立德[1] PANG Shuo;ZHANG Lide(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China)

机构地区：[1]辽宁中医药大学,辽宁沈阳110847

出　　处：《辽宁中医杂志》2024年第7期64-68,I0001,共6页Liaoning Journal of Traditional Chinese Medicine

基　　金：辽宁省中央引导地方科技发展专项项目(2018416016)。

摘　　要：目的 旨在探讨阴虚阳亢型丑时不寐患者的临床特征。方法 选取90例以丑时易醒、醒后持续半小时以上不能入睡为主要特征的阴虚阳亢证不寐患者,对患者基线资料、安全性指标、PSQI分值、证候积分、血压水平进行资料收集,分析各因素对阴虚阳亢型丑时不寐患者睡眠、血压的影响。结果 吸烟史、饮酒史、脑血管病史与PSQI分值存在相关性(P<0.05);收缩压水平与PSQI分值存在相关性(P<0.05);舒张压水平与PSQI分值存在显著相关性(P<0.01)。性别对丑时不寐患者的舒张压水平有影响,男性高于女性(P<0.05);年龄对丑时不寐患者的收缩压水平有影响,≤60周岁患者的收缩压水平高于> 60周岁患者;存在吸烟史的丑时不寐患者的收缩压、舒张压、脉压差水平均高于没有吸烟史的患者(P<0.05);存在饮酒史的丑时不寐患者的收缩压、舒张压水平均高于没有饮酒史的患者(P<0.05);存在脑血管病史的丑时不寐患者的的收缩压、舒张压、脉压差水平均高于没有脑血管病史的患者(P<0.05)。结论 阴虚阳亢型丑时不寐患者中,以男性、中青年居多,既往吸烟史饮酒史、脑血管病史居多,病程3个月~1年者居多,入组患者以丑时易醒,醒后难以入睡为主要特征,大多数患者伴有盗汗、呼吸不畅;吸烟、饮酒、脑血管病以及收缩压、舒张压水平异常均会导致丑时不寐的发生或加重;性别、年龄、吸烟史、饮酒史、脑血管病史与丑时不寐患者的血压水平密切相关。Objective To explore the clinical characteristics of Choushi(the period of the day from 1 a.m.to 3 p.m)insomnia patients(syndrome of Yin deficiency and Yang hyperactivity).Methods Ninety patients with insomnia(syndrome of Yin deficiency and Yang hyperactivity)whose main characteristics were easy to wake up at Choushi and difficult to fall asleep after waking up.Baseline data,safety indicators,Pittsburgh Sleep Quality Index(PSQI)score,syndrome score and blood pressure levels of patients were collected to analyze the influence of various factors on sleep and blood pressure of patients with Choushi insomnia(syndrome of Yin deficiency and Yang hyperactivity).Results Smoking history,drinking history and cerebrovascular history were correlated with PSQI score(P<0.05).The systolic blood pressure was correlated with PSQI score(P<0.05).The diastolic blood pressure level was significantly correlated with PSQI score(P<0.01).The diastolic blood pressure level of males was higher than that of females(P<0.05).The age had an effect on systolic blood pressure level.The systolic blood pressure levels in patients were less than or equal to that of the 60-year-old patients.The systolic blood pressure,diastolic blood pressure and pulse pressure difference of patients with smoking history were higher than those of patients without smoking history(P<0.05).The systolic blood pressure and diastolic blood pressure of patients with a history of alcohol consumption were higher than those of patients without a history of alcohol consumption(P<0.05).The systolic blood pressure,diastolic blood pressure and pulse differential pressure of patients with cerebrovascular history were higher than those of patients without cerebrovascular history(P<0.05).Conclusion 1.The majority of the patients of Choushi insomnia(syndrome of Yin deficiency and Yang hyperactivity)were male,young and middle-aged,had a history of smoking and drinking and a history of cerebrovascular disease.The majority of the patients had a course of 3 months to 1 year.The enrolled

关 键 词：丑时 不寐 阴虚阳亢证 临床观察 

分 类 号：R256.23[医药卫生—中医内科学]