| Objective:Screening period between August 2020 and December 2021 in Hubei Hospital of integrated traditional Chinese and Western Medicine,main symptoms and duration of patients with Chronic Insomnia Disorder（CID）,the insomnia severity index（ISI）scale and The Hospital Anxiety and Depression Scale（HADS）were used,The distribution characteristics of different TCM syndrome types at the CID patients and the severity of insomnia,anxiety and depression of CID patients were analyzed.Method:Screening patients diagnosed with CID in the outpatient department and inpatient department of Neurology from August 2020 to December 2021 in a class III hospital of integrated traditional Chinese and Western medicine,patients diagnosed with CID in the outpatient and inpatient department of neurology were recorded with basic information including name,gender,age,telephone number,home address,etc.,basic information of CID,main complaint,main symptoms and duration,TCM syndrome type,relevant four diagnosis data,past medical history and other information,They were asked to fill in ISI scale,had and other questionnaires,and the results of syndrome type,scale,basic data and previous medical history were counted,and the software of spss25.0 was used for statistical analysis.Result:A total of 173 patients diagnosed with CID were included in this study,of which 53 patients refused to participate in this study,5 patients had the scores of ISI scale less than 7,and the remaining115 patients were included in this study.115 cases were grouped according to gender and age,including 77 women（mean age: 59.73± 10.42）and 38 men（mean age: 57.55 ± 12.67）.Grouped by age:11 persons in the 25-45 age group,77 persons in the 46-65 age group and 27 persons in the 66-85 age group.1.Age grouping results:（1）The results of syndrome types were as follows: the number of phlegm heat disturbing heart syndrome in the young group was more prominent than that in the old group,which was statistically significant（P = 0.024）;Compared with the middle-aged group,the elderly group had no cases of liver depression and fire syndrome,which was statistically significant（P = 0.002）.The distribution of syndrome types in the young group: phlegm heat disturbing the heart（36.4%）,liver stagnation and fire transforming syndrome（18.2%）,heart kidney Disharmony Syndrome（18.2%）,heart kidney yin deficiency syndrome（9.1%）,heart spleen deficiency syndrome（9.1%）,heart deficiency and timidity syndrome（9.1%）;The distribution of syndrome types in the middle-aged group: 26（33.8%）with liver depression and fire,14（18.2%）with deficiency of heart and kidney yin,13（16.9%）with disharmony of heart and kidney,10（13.0%）with deficiency of both heart and spleen,8（10.4%）with internal disturbance of phlegm heat and 6（7.8%）with deficiency of heart and timidity;Distribution of syndrome types in the elderly group: 9 cases of heart and kidney yin deficiency syndrome（33.3%）,7 cases of heart and kidney Disharmony Syndrome（25.9%）,6 cases of heart and spleen deficiency syndrome（22.2%）,4 cases of heart deficiency and timidity syndrome（14.8%）,1 case of phlegm heat disturbance syndrome（3.7%）,and no cases of liver depression and fire syndrome.（2）ISI results: in the degree of insomnia,the elderly group was mainly mild insomnia,which was significantly different from the other two groups（P = 0.007）.There were 7 moderate insomnia（25.9%）,and there were no cases of severe insomnia;In the youth group,moderate insomnia（7 persons,63.6%）was the main cause,mild insomnia（4 persons,36.4%）,and there were no cases of severe insomnia;The middle-aged group was dominated by moderate insomnia（35 persons,45.4%）,mild insomnia（31 persons,40.3）,and the number of severe insomnia was 11（14.3）.All severe insomnia were concentrated in the middle-aged group.（3）HADS results: in terms of anxiety and depression symptoms,the number of asymptomatic people in the elderly group（21 persons,77.8%）accounted for a large proportion in this group,which was statistically significant compared with the other two groups（P =0.001）;The number of young people in each result was evenly distributed,mainly asymptomatic（4 persons,36.4%）,suspicious anxiety（4 persons,36.4%）and suspicious depression（4 persons,36.4%）;In the middle-aged group,suspicious anxiety（35 persons,45.5%）,asymptomatic（27 persons,35.1%）and suspicious depression（25 persons,32.5%）were the main results;The proportion of anxiety（18.2 %> 6.5%）and depression（9.1% > 3.9%）in the young group was higher than that in the middle-aged group.2.Grouping by gender（1）Results of syndrome types: compared with men,the syndrome type of heart kidney disharmony is more likely to appear in women,which is statistically significant（P = 0.031）.Women mainly focus on the syndrome types of heart kidney disharmony（19 persons,24.7%）,liver depression and fire（18 persons,23.4%）,heart kidney yin deficiency（16 persons,20.8%）,heart spleen deficiency（11 persons,14.3%）;Men are mainly concentrated in liver depression and fire syndrome（10 persons,26.3%）,heart and kidney yin deficiency syndrome（8 persons,21.1%）,phlegm heat internal disturbance syndrome（7 persons,18.4%）,heart and spleen deficiency syndrome（6 persons,5.8%）.（2）ISI results: there was no significant difference in the degree of Insomnia between the two groups.The distribution of insomnia degree in the female group was: moderate insomnia（35 persons,45.5%）,mild insomnia（32 persons,41.6%）,and severe insomnia（10persons,13.0%）;The distribution of insomnia degree in male group was mild insomnia（23 persons,60.5%）,moderate insomnia（14persons,36.8%）,and severe insomnia（1 person,2.6%）.（3）HADS results: in terms of anxiety and depression,the male group had more asymptomatic people than the female group（P = 0.020）,and the male group was mainly asymptomatic（23 persons,60.5%）;The number of suspicious anxiety in female group was more than that in male group（P < 0.001）.The results of suspicious anxiety（38persons,49.4%）,asymptomatic（29 persons,37.7%）and suspicious depression（22 persons,28.6%）were the main results in female group;The proportion of anxiety（7.9 %> 5.2%）and depression（7.9% > 1.3%）in male group was higher than that in female group.（4）Other results: in terms of insomnia symptoms,the number of dreamers in the female group was more than that in the male group,which was statistically significant（P = 0.002）,and there was no significant difference in other symptoms.Conclusion:1.The distribution of CID TCM syndrome types has certain age and gender characteristics.Among them,the young people are mainly the syndrome of phlegm heat disturbing the heart and the syndrome of liver depression transforming fire,while the middle-aged people are more the syndrome of liver depression transforming fire.At the same time,other syndrome types have a heavy proportion,and the elderly people are mainly the deficiency syndrome of heart and kidney yin deficiency,heart and spleen deficiency and so on.The syndrome types of heart kidney Disharmony Syndrome and liver depression transforming fire syndrome are more common in women,while the syndrome types of liver depression transforming fire syndrome and heart kidney yin deficiency syndrome are more common in men.The characteristics of male and female syndrome types are related to their own physiological structure.2.The elderly have a lower degree of insomnia.Although the number of middle-aged and female groups with severe insomnia is relatively small,the problem of insomnia can not be ignored.3.The anxiety and depression of the elderly are mild,the anxiety and depression of the young are prominent,and the suspected anxiety of women can not be ignored.4.Compared with young people and middle-aged people,the insomnia time of the elderly shows the characteristics of polarization. |
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