| Objective: This paper discusses the research status of hypertension,sleep disorders,and constitution theory of TCM,and made a further clinical research on this basis to probe the relationship between hypertension combine sleep disorders,hypertension and the traditional Chinese medicine constitution,sleep quality and the traditional Chinese medicine constitution.Hope can provide an effective,reliable and feasible prevention and control for hypertension patients and sleep problems.Methods: This research adopts the research methods of questionnaire survey.Based on the literature review,realize the research status of hypertension with sleep disorders and TCM constitution,find the deficiencies and problems in the process of future research.Select 500 cases accord with the standards of patients with high blood pressure which come from Gansu university of traditional Chinese medicine hospital outpatient and hospitalization in October 2014 to October 2015,testing all patients with hypertension questionnaire,PSQI,Chinese medicine constitution classification and decision table.Select the hypertensive cases of sleep quality and constitution.Using SPSS21.0 statistical software for statistical analysis.Obey the normal distribution,use the independent sample T test,chi-square test and correlation analysis.All significances test P<0.01 for standard.Results: 1.500 cases of patients with hypertensive were counted,which had being divided into 320 cases of sleep disorder group.The probability of hypertension with sleep disorder was 64%.There are 190 male cases(59.38 %)and 130 female cases in the 320 cases of patients,male more than female significantly.Percentage of 59 ages mainly from 40 to 70 years old,with an average age of 56±12.7 years old and average body mass index(BMI)of 28±4.23.Only 70 patients were in a quiet environment of the 320 cases of patients,cohabitation(63%)were significantly higher than solitary.In the patients with hypertension combine sleep disorders mainly in grade-2-hypertension(146 cases).Fasting blood glucose and postprandial 2 hours blood glucose are gradually increase with the rise of blood pressure rating,which had a positive correlation with BP grades.Grade-3-hypertension patients were at greatest risk of impaired glucose tolerance.All 320 cases of patients with BMI average value were greater than normal and had a positive correlation with BP grades.2.The mainly constitution types of 500 cases of hypertensive were constitution of yin deficiency(84 cases,16.80%),phlegm dampness constitution(77 cases,15.40%),constitution of qi deficiency(76 cases,15.20%),constitution of yang deficiency(60 cases,12.00%).Male and female constitution types composition ratio statistics had statistical significance(P<0.01).Male patients’ constitution types mainly focus on phlegm dampness constitution,yang deficiency constitution and damp heat constitution.Female patients’ constitution types mainly focus on yin deficiency constitution,qi deficiency constitution and qi stagnation constitution.500 cases of hypertensive patients with grade 1 hypertension(223 cases)most,followed by grade 2 hypertension(198 cases).Grade-1-hypertension mainly focus on yin deficiency constitution,yang deficiency constitution,phlegm dampness constitution and qi stagnation constitution.Grade-2-hypertension mainly focus on phlegm dampness constitution,damp heat constitution and qi deficiency constitution.Grade-3-hypertension mainly focus on qi deficiency constitution and blood stasis constitution.Constitution types statistics between grade 1,grade 2 and grade 3 hypertension had statistical significance(P<0.01).There are some certain correlations between development stage of hypertension and traditional Chinese medicine constitution.3.There were a different main age group between sleep disorder group and sleep non-disorder group.The sleep disorder group mainly from 40 years old to 70 years old,sleep non-disorder group mainly under 40 years old.Age statistics between two groups had statistical significance(P<0.01).Two groups’ male all more than female.There were a different BMI between two groups,sleep disorder patients’ weight(BMI)mainly for thin and fat,sleep non-disorder group mainly for normal body weight.BMI statistics between two groups had statistical significance(P<0.01).Sleep disorder group give priority to grade 2 hypertension,sleep non-disorder group give priority to grade 1 hypertension,hypertension grade chi-square test between two groups had statistical significance(P<0.01),there are some certain correlations between development stage of hypertension and sleep.Two groups’ PSQI index average score with a different movement,all index score of sleep disorder group were higher than sleep non-disorder group,sleep disorder group mainly focus on low sleep quality,long asleep time,short sleep time and poor sleep efficiency.PSQI index score statistics between two groups had statistical significance(P<0.01).Constitution distribution of sleep non-disorder group was more balanced than sleep disorder group.Constitution types of sleep disorder group mainly focus on yin deficiency constitution,qi deficiency constitution,qi stagnation constitution and phlegm dampness constitution.Using chi-square test on constituent ratio of eight kinds of biased constitution form two sleep groups,(P<0.01),there was significant difference.Constituent ratio of sleep disorder group mainly focus on yin deficiency constitution(22.45%),qi deficiency constitution(20.41%)and phlegm dampness constitution(15.99%).Constituent ratio of sleep non-disorder group mainly focus on yang deficiency constitution(19.05%),phlegm dampness constitution(17.86%)and damp heat constitution(19.05%).Correspondence analysis of PSQI index and traditional Chinese medicine constitution from sleep disorder group had statistical significance(P<0.01).There were some correlation between PSQI index and traditional Chinese medicine constitution.There was a high correlation between constitution variate(yin deficiency constitution and qi deficiency constitution)and PSQI index variate(sleep quality,sleep time and sleep efficiency).It can be seen that yin deficiency constitution and qi deficiency constitution made a great influence to sleep quality,sleep time and sleep efficiency.Conclusion: 1.The probability of hypertension with sleep disorder was 64%,male more than female significantly.Sleep environment and cohabitation made some influences to sleep of hypertension with sleep disorder patients.All 320 cases of patients with BMI average value were greater than normal.BMI,fasting blood glucose and postprandial 2 hours blood glucose had a positive correlation with BP grades.Grade-3-hypertension patients were at greatest risk of impaired glucose tolerance.2.The mainly constitution types of hypertensive were yin deficiency constitution,phlegm dampness constitution,qi deficiency constitution,yang deficiency constitution.Male patients’ constitution types mainly focus on phlegm dampness constitution,yang deficiency constitution and damp heat constitution.Female patients’ constitution types mainly focus on yin deficiency constitution,qi deficiency constitution and qi stagnation constitution.Constitution types between grade 1,grade 2 and grade 3 hypertension had some difference.There are some certain correlations between development stage of hypertension and traditional Chinese medicine constitution.3.There were a different main age group between sleep disorder group and sleep non-disorder group.Age,BMI,development stage,PSQI index,traditional Chinese medicine constitution and constituent ratio of biased constitution between two sleep groups had statistical significance.One highest correlation was got between constitution variate(yin deficiency constitution and qi deficiency constitution)and PSQI index variate(sleep quality,sleep time and sleep efficiency). |
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