Correlation Betweem Hypertension With Insomnia And Analysis Of TCM Constitution

Objective 1.To research the relationship between hypertension and insomnia.2.To research the relationship between TCM constitution and hypertension,insomnia.Methods 1.From January 2018 to October 2019,149 patients with hypertension were treated in our hospital and 31 insomnia patients without hypertension were selected as the control group.According to the criteria of insomnia diagnosis and PSQI,count the number of insomnia patients with hypertension,the distribution of clinical symptoms of hypertension patients with insomnia.2.The total sleep time,sleep efficiency,sleep latency,number of awakenings,wake-up time,S1,S2,S3,REM sleep,REM latency and other related parameters were compared between the insomnia patients with hypertension and those without hypertension by PSG.3.The mean blood pressure and standard deviation of 24 hours,day and night were compared between the hypertension patients with insomnia and those without insomnia by 24-hour ambulatory blood pressure monitoring.4.According to the standard of TCM constitution,all patients were classified to compare the physical distribution of hypertension with insomnia,hypertension without insomnia and hypertension without insomnia.Results 1.The incidence of insomnia in patients with hypertension was 75.84%.2.The occurrence of symptoms of insomnia is as follow: difficulties maintaining sleep in 103 cases,short sleep duration in 92 cases,early morning awakening in 89 cases,frequent urination in 87 cases,difficulties initiating sleep in 85 cases,multiple dreams in 47 cases,daytime sleepiness in 51 cases and daytime dysfunction in 45 cases.3.There was significant difference in the sleep ratio of S1,S3 and REM between hypertension with insomnia group and non hypertension with insomnia group(P<0.01).4.There were significant statistical differences in systolic blood pressure at night between hypertension with insomnia group and hypertension without insomnia group(P<0.01),24 h DSD,d SSD,d DSD and n SSD between the two groups(P< 0.05 or P<0.01).5.Phlegm-dampness accounted for the most in all patients(26.1%);there was significant statistical significance in the comparison of Phlegm-dampness and Qi-stagnation in the three groups(P<0.01).Conclusion 1.The incidence of insomnia in patients with hypertension is high.2.the main manifestations of hypertension patients with insomnia are difficulties maintaining sleep,short sleep duration,early morning awakening,frequent urination and difficulties initiating sleep.3.Patients with hypertension and insomnia are more likely to have sleep disorder than those without hypertension.4.The systolic blood pressure of hypertension patients with insomnia was higher than that of hypertension patients without insomnia.The blood pressure variability of hypertension patients with insomnia is greater than that of hypertension patients without insomnia.5.The proportion of phlegm dampness constitution is the most in the total sample size;hypertension with insomnia is more likely to occur in the group of blood stasis and Qi stagnation.