主 办:北 京 中 医 药 大 学
ISSN 1006-2157 CN 11-3574/R

北京中医药大学学报 ›› 2018, Vol. 41 ›› Issue (10): 859-862.doi: 10.3969/j.issn.1006-2157.2018.10.012

• 临床研究 • 上一篇    下一篇

308例原发性失眠患者的中医体质分布与睡眠质量的相关性研究*

裴清华, 李侠, 许静, 曲淼, 唐启盛#   

  1. 北京中医药大学第三附属医院 北京 100029
  • 收稿日期:2018-03-20 出版日期:2018-10-30 发布日期:2018-10-30
  • 通讯作者: 唐启盛,男,博士,教授,主任医师,博士生导师,研究方向:中医药防治脑病的研究,E-mail:tangqisheng@263.net
  • 作者简介:裴清华,女,博士,教授,主任医师,硕士生导师
  • 基金资助:
    国家自然科学基金资助项目(No.81473658),中央高校基本科研业务费专项基金资助项目(No.2015-JYB-JSMS138)

Study on the correlation between TCM constitution and sleep quality of 308 patients with primary insomnia*

Pei Qinghua, Li Xia, Xu Jing, Qu Miao, Tang Qisheng#   

  1. Third Affiliated Hospital of Beijing University of Chinese Medicine, Beijing 100029,China
  • Received:2018-03-20 Online:2018-10-30 Published:2018-10-30

摘要: 目的 研究原发性失眠患者的中医体质分布特点,中医体质与睡眠质量的相关性。方法 采用横断面的研究方法,对符合纳入标准的病例采用匹兹堡睡眠质量指数量表(PSQI)、中医体质分类与判定量表进行评定,收集数据,分析失眠患者的中医体质分布状况、睡眠质量,中医体质与睡眠质量的内在联系。结果 共观察308例,年龄最小20岁,最大75岁,平均年龄(46.32±16.23)岁。男性失眠患者104例,女性失眠患者204例。单一体质162例,兼夹体质 146 例,PSQI总分均值为(12.65±3.04)。失眠患者较严重的表现为睡眠质量差、睡眠时间缩短和入睡时间的延长。各体质均以入睡困难为主要症状,单一体质的次要症状分别表现为:痰湿体质为早醒;阳虚体质、瘀血体质为多梦;阴虚体质为易醒;气郁体质、气虚体质、湿热体质以及特禀体质为眠浅。而各兼夹体质的次要症状表现为多梦。结论 失眠患者中最多的3种单一体质为气虚体质、阴虚体质及痰湿体质;3种兼夹体质为气虚兼夹阳虚体质、气虚兼夹阴虚体质以及阳虚兼夹痰湿体质。单一体质与兼夹体质的睡眠质量无差异,均以入睡困难为主要症状,次要症状与中医体质具有一定的相关性。

关键词: 失眠, 中医体质, 睡眠质量

Abstract: Objective To study the distribution of TCM constitution in patients with primary insomnia, and the correlation between TCM constitution and sleep quality. Methods Cross-sectional survey was used. The Pittsburgh sleep quality index (PSQI) and the Chinese Medical Constitution Scale were evaluated, and the data were collected to analyze the patients’ constitution distribution, sleep quality and the association between the constitution and the sleeping quality. Results A total of 308 cases (104 male & 204 female) were observed; the youngest was 20 years old, the oldest was 75 years old, with an average age of (46.32±16.23) years old. There were 162 cases of single constitution and 146 cases of combined constitution. The mean score of PSQI was (12.65±3.04). Symptoms of insomnia include poor sleep quality, shorter sleep time and longer time to falling asleep. The main symptoms were difficulty of falling asleep. Secondary symptoms of each constitution were as follows: early awakening in the phlegm dampness and yang deficiency constitutions; profuse dreaming in the blood stasis constitution; easy awakening in the yin deficiency constitution; shallow sleeping in the qi stagnation constitution, qi deficiency constitution, damp heat constitution and special constitution. Secondary symptoms of combined constitution were profuse dreaming. Conclusion The most common constitution in insomniacs were qi deficiency constitution, yin deficiency constitution and phlegm dampness constitution; and three kinds of combined constitution were qi deficiency and yang deficiency constitution, qi deficiency and yin deficiency constitution, yang deficiency and phlegm dampness constitution. There was no difference in the sleep quality between the single and combined constitutions, and the main symptom was difficulty in falling asleep. The secondary symptoms were correlated with the constitution of TCM.

Key words: insomnia, constitution of traditional Chinese medicine, sleep quality

中图分类号: 

  • R256.23