| Objective:Through collect and statistic the dates such as clinical data, Traditional Chinese Medicine(TCM) diagnosis information of Patients with anxiety-related insomnia, to exp-lore the anxiety-related insomnia’s main clinical features and characteristics of TCM, and the correlation between them, to provide abasis inorder to guide diagnosis Anxiety-related insomnia rapidly and accurately, and to improve clinical efficacy. According to the income of the characteristics of TCM syndrome and clinical experience to develo p the basic TCM intervention treatment scheme and clinical observation and research, provide effective clinical practice data for anxiety-related insomnia treated by traditiona 1 Chinese medicine.Method:These 138 cases patients of anxiety-related insomnia come from the out patients of Neurology in the Dong Zhi Men hospital between October 2014 and February 2015. Collected and recorded the patients’information such as the name, sex, age,national origin,maritalstatus,occupation,education, disease course,the situation of take drugs to im prove the sleep,past-disease history, insomnia situation and TCM symptoms. Use the Pittsburgh Sleep Quality Index(PSQI)for sleep qualityevaluation. According to the spe cific circum-stances of data collected to establish the relevant database, use the Statisti-cal analysis software SPASS20.0 to statistical analysis of descriptive statistics, chi-square test, correlation analysis, non parametric test, cluster analysis and t-test.ResultsThe early clinical study included 108 cases of sub-standard in patients of anxiety-related insomnia, male 29 cases (27.4%), female 77 cases (accounted for 72.6%), and the number of cases of ratio is 1:2.66. The minimum age was 19 years old, the biggest is 79 years old, the average age was 49.88±1.349 years; mental workers 80 cases (75.5%), physical labor in 26 cases (24.4%); illiterate 2 cases (1.9%), primary 7 cases (6.6%), middle 14 cases (13.2%), high school and technical secondary school 38 cases (35.8%) and college students 43 cases (40.6 percent), graduate in 2 cases (1.9%), who had taken an auxiliary drug in 50 cases (47.2%), and did not use an auxiliary drug 56 cases (52.8%). Gender, occupation, age and educational level had significant effect on the PSQI score of anxiety insomnia patients (P< 0.01). Types of insomnia is difficulty falling asleep in 93 cases (87.7%), dreams of 88 cases (88 cases), sleep not real, easy to wake up 95 cases (89.6%), wake up early 87 cases (82.1%). The type of anxiety-related insomnia in difficulty falling asleep and sleeping easy to wake.In the early study, anxiety-related insomnia PSQI and heart rate variability (HRV) each index does not exist correlation (P> 0.05); PSQI score and functional activities of the brain work load, short memory, eliminate distractions correlated (P< 0.01). No statistically significant between different HAMA groups indexes of HRV (P> 0.05). There is significant work load of brain activity and eliminate distractions differences between the groups (P< 0.05). The higher the HAMA score the higher work load got, the lower the ability to eliminate distractions.Statistical analysis was performed on all cases included inthe TCM four diagnostic information, and the 25 is the frequency of symptoms before the clustering analysis, summarized that anxiety-related insomnia has three major symptoms:kidney deficiency, spleen; liver stagnation and spleen deficiency, stagnation of the meridians; Jing Mai stagnation, Qing Yang does not rise. Summarize the main pathogenesis of anxiety-related insomnia liver depression and spleen deficiency, heart and kidney disorders, accompanied by meridian silt, the pathological process of Qing Yang did not rise. According to tutor’s clinical experience,32 cases of anxiety-related insomnia in patient-s with syndrome differentiation, clinical observation and intervention of traditional Chi-nese medicine treatmentBefore and after treatment, PSQI and HAMA score differences were statistically significant (P< 0.05), suggesting that Chinese medicine intervention treatment is effective for improving sleep quality and anxiety state of patients. And the total effective rate was 43.74%,and the HAMA score total effective rate was 59.38%.Conclusion:Female, middle-aged and young age, high education, mental workers for anxiety-related insomnia of the susceptible population;the characteristics of anxiety-related insomnia patients are:quick temper, love to worry about, the pursuit of perfect, love angry, easy nervous, bear too much;working pressure, eating fast chewing less, long-term visual screen operation and other unhealthy work lifestyle is an important factor in the impact of anxiety insomnia;anxiety-related insomnia characterized by difficulty falling asleep, sleep easy to wake up, but the types of insomnia symptoms and does not exist independently, but coherent coreferences.The main pathogenesis of anxiety-related insomnia for the stagnation of the liver qi and deficiency of the spleen, heart and kidney do not pay, and accompanied by meridian stasis impassability, Qing Yang does not rise the pathological processes; for anxiety sex insomnia the main pathogenesis, combined with my tutor’s clinical experience in the treatment of, develop basic TCM intervention treatment scheme, on the basis of basic party dialectical addition and subtraction, on sleep quality and anxiety relief, preliminary achieved good results... |
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