The Clinical Features Of Anxiety-related Insomnia And Tcm Syndrome Clinical Research

Objective:Through collect and statistic the dates such as clinical data, Traditional Chinese Medicine diagnosis information of patients with anxiety-related insomnia, to explore the anxiety-related insomnia's main clinical features and characteristics of Traditional Chinese Medicine, and the correlation between them, to provide a basis in order to guide diagnosis anxiety-related insomnia rapidly and accurately, and to improve clinical efficacy.Method:These 80 cases patients with anxiety-related insomnia come from the outpatients of Neurology in the DongZhiMen hospital between April 2009 and January 2010. Collectted and recorded the patients'information such as the name, sex, age, national origin, marital status, occupation, education, disease course, the situation of take drugs to improve the sleep, past-disease history, insomnia situation and Traditional Chinese Medicine symptoms. Use the Pittsburgh Sleep Quality Index (PSQI) for sleep quality evaluation. According to the specific circumstances of data collected to establish the relevant database, use the Statistical analysis software SAS8.2 to statistical analysis of variance, t test, rank sum test and chi-square test.Results:The clinical study included 80 cases of sub-standard in patients with anxiety-related insomnia, there are 67 cases is sleep-phase insomnia patients, which take parts of 83.75%;19 cases is maintenance period insomnia, which take parts of 23.75%; there are 15 cases is the end-period of insomnia, accounting for 18.75% of the total number of cases. With the most prevalent type of sleep phase insomnia. The age, duration, and the situation of take drugs to improve the sleep on anxiety-related insomnia in the performance of the type had no significant effects (P>0.05). In these cases, the type of Liver depression to fire appears most with the total number of 51, accounting for 63.75% of the total number of cases, followed by the type of Heart and Spleen deficiency, the type of Yin-deficiency and Huo-superfluous, the type of Sputum and fire disturb the heart and the type of heart-bile deficiency. To statistic and analysis the relationship between Traditional Chinese Medicine types and the types of anxiety-related insomnia's performance, the result is:In 66 cases with sleep phase insomnia patients, the type of Liver depression to fire account the largest number with the total of 48 cases, accounting for 72.73%, followed by the type of Yin-deficiency and Huo-superfluous, the type of Heart and Spleen deficiency, the type of Sputum and fire disturb the heart and the type of heart-bile deficiency. In 19 cases with maintenance period insomnia patients, the type of Heart and Spleen deficiency account the largest number with the total of 7 cases, accounting for 36.84%. There sleep phase insomnia patients'Traditional Chinese Medicine type often performance for the type of Liver depression to fire (P=0.0005<0.05).There maintenance period insomnia patients' Traditional Chinese Medicine type often performance for the type of Heart and Spleen deficiency (P=0.0100<0.05).The effect from disease duration in patients with anxiety-related insomnia to the distribution of Traditional Chinese Medicine type is of statistical significance. The number of the type of Liver depression increases as the pathogenesis become long. The effect from other factors to the distribution of Traditional Chinese Medicine type has no statistically significant (P>0.05).The effects from sex, age, educational level, duration and the situation of take drugs to improve the sleep on anxiety-related insomnia patients' PSQI score has no statistically significant (P>0.05)Conclusion:Sleep phase insomnia is the main clinical manifestations of anxiety-related insomnia, the young and middle-aged ones and these people with high education level are more likely to suffer. Anxiety-related insomnia patients'type of Traditional Chinese Medicine is mostly the type of Liver depression to fire. A great part of sleep phase insomnia patients' type of Traditional Chinese Medicine is Liver depression to fire. A large number of maintenance period insomnia patients'type of Traditional Chinese Medicine is Heart and Spleen deficiency. The course affects the performance of Traditional Chinese Medicine, the number of the type of Liver depression to fire increase with the course becomes longer.