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The Classification Of Traditional Chinese Medicine And Insomnia Common Symptom Clinical Research

Posted on:2013-05-25Degree:MasterType:Thesis
Country:ChinaCandidate:H J WangFull Text:PDF
GTID:2234330374484773Subject:Chinese medical science
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Objective:For insomnia dialectical classification, always does not have uniformstandard. Analysis of the basic characteristics of insomnia syndrome, help to usetraditional Chinese medicine treats dialectical method of insomnia treated effectively.Research insomnia patients syndromes distribution;Preliminary screening of syndromesinsomnia diagnostic index;Research insomniacs different syndromes main show withsymptoms and between the difference;Discuss the different types of insomnia patientswith insomnia and the contact between the syndromes. Methods: Use direct thequestionnaire survey form, select from June2011to December2011Chinese medicinehospital outpatient service and jinan in hospital wards of the insomnia patient, to fill in the"insomnia syndrome questionnaire", with Pittsburgh sleep quality index (PSQI), Hamiltonanxiety scale (HAMA), Hamilton depression rating scale (HAMD) scale of sleep qualitypatients respectively and emotional assessment, and then on to collection of statisticalanalysis.Results:①Insomnia patients accounted for68.66%of women, male,31.34%; At theage of20to60years old of the insomnia crowd accounted for73.9%; Engaged in mentalwork and retired personnel in the higher percentage of the people insomnia, account for36.6%and24.6%respectively; Introverted patients in the higher percentage of the peopleinsomnia, accounted for42.5%; Cultural degree for secondary school or university inpatients with a higher percentage of the people insomnia, account for42.5%and35.1%respectively.②Gender, age, different cultural degree, the disposition insomniacs sleepquality analysis, the t test, according to a=0.05standard, the results showed that differentgender and character insomniacs sleep quality is statistically significant difference (P < 0.05), women’s PSQI score on the high side, introverted PSQI score was significantlyhigher than the outgoing personality and character neutral patients, different age, culturedegree of insomniacs sleep quality difference was statistically significant (P>0.05).③Intype distribution status of insomnia in statistics, sleep period insomnia accounted for54.5%; In ShiMianBing a statistics, liver, heart38.8%28.4%23.1%, lung, spleen andkidney1.5%8.2%; In cause insomnia distribution in statistics, qi, blood deficiency21.6%13.4%,6.0%, Yin Yang10.4%, blood stasis accounted for3.7%,14.2%, and16.4%, thefiery phlegmy wet14.2%; Insomnia syndrome in the distribution of the analysis in thehabitat of diseases are the three delay type19cases, accounting for14.2%of the134patients; Blood type, spleen deficiency phlegmy wet type each in12cases,9.0%.④A liverdisease in a liver disease and not the insomnia patients in sleep period with the fall asleepinsomnia comparison of insomnia, P <0.05; A heart disease and heart disease than theinsomnia patients who go to sleep with the sleep of insomnia of the comparison of theinsomnia, P <0.05; A kidney disease in a kidney disease and not the insomnia patients insleep period with the fall asleep insomnia of insomnia, sleep end period with the sleep ofinsomnia end the comparison of the insomnia, P <0.05; The other group is P>0.05between.⑤The five zang-organs insomnia and dirty common symptom of the relationshipbetween the Logistic regression analysis by the regression equation of the respectively is:"liver" dirty symptoms and disease in a relationship of liver of insomnia: Logit (p)=4.316+1.542dizzy (4.675)+3.714pulse string (41.014)+2.938lurking threat bulge pain(18.886);"The" dirty symptoms and disease in the spleen of insomnia a relationship: Logit(p)=10.686+2.653discharge diarrhea (14.201)+3.833anorexia, less (46.180)+4.959pulse thin or affect each other (142.521)+2.386abdominal distension (10.869)+3.531lower limb swelling (34.147);"Heart" dirty symptoms of heart disease and a insomniarelationship: Logit (p)=4.079+3.406upset (30.138)+1.472much dream (4.356)+2.403complexion looks (11.054)+2.901timid easy surprised (18.190).Conclusion:①was significantly higher than the proportion of women withinsomnia male patients, including mental work or retired, introverted and cultural degree inmiddle or high school of the university level higher percentage insomnia.②the insomniadeficiency and real disease are more common, completely is insomnia, a liver disease inthe majority, the heart, spleen take second place. Considering the insomnia type in thefrequency of diseases are the three sluggish blood type, type, spleen deficiency phlegmy wet type.③in patients with insomnia is to sleep more than half of insomnia. A liverdisease in the insomnia much performance is difficulty sleeping, a kidney disease in theinsomnia much performance is wake up early.④the giddy, pulse string, a threat toShiMianBing bulge pain lurking in the liver has a diagnosis meaning; Diarrhea, anorexia,discharge pulse thin little, or affect each other, abdominal distension, lower limb swellingto ShiMianBing a spleen has significance in diagnosis; Upset, dream, was China, easy toShiMianBing a cowardly surprised with heart diagnostic.
Keywords/Search Tags:insomnia, viscera, Cause, Card type, PSQI
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