Features Of Epidemiology And TCM Pathogenesis In Insomnia With Anxiety Symptom

Objective: To study features of epidemiology, distribution of TCM syndromes and pathogenesis in insomnia with anxiety symptom. Methods: we selected 90 insomnia patients who sought for medical care in the affiliated hospital of Shandong University of TCM from May 2006 to February 2007, by the form of cross-sectional survey and simple random sampling. We accessed the PSQI, HAMA and TCM syndromes-observing tables. All the data were analyzed by SPSS13.0. Results: 1. The number of patients of insomnia with anxiety symptom is 55.56% of the total sampling number, the incidence of women's anxiety symptom in the sample is higher than that of men. Educational background of group with anxiety symptom is lower than that without anxiety symptom; 2. The difference in sleep time factor , sleep obstacle rank and total scores between group with and without anxiety symptom has high significance in statistics; The scores of PSQI and HAMA of the total sample are positive correlation; 3. The incidence of phlegm heat syndrome is 48%(24 cases /50cases), which is much higher than that of other syndromes. By using Logistic multivariate regression analysis, we selected 8 syndromes as sleeplessness , dysphasia ,etc, and 2 tongue and pulse pictures, which are in good agreement with phlegm heat syndrome. Conclusion: The incidence of insomnia patients'anxiety symptom is high; Severity of insomnia and anxiety symptom is positive correlation; The incidence of insomnia with anxiety symptom is high in women, young, middle-aged, and the low educational background. Phlegm heat syndrome is the most important syndrome of insomnia with anxiety symptom; Phlegm heat is the most important pathogenesis of insomnia with anxiety symptom.