The Study Of Risk Factors And Exploration Of Distribution Regularity Of TCM Syndrome Type In Young And Middle-aged With Insomnia

ObjectiveInsomnia is one of the serious disease that influences human health and life quality, and causes a variety of physical and mental diseases. In recent years, with the rapid development of economy and society in China, people with insomnia has the young tendency. The young and middle-aged is the pillar of the family, a major force in our society, if they suffer from insomnia, then it will be a great impact on the family and society, also the social economy. The concurrent physical illness or mental illness makes the social and family burden more aggravated. Therefore, the young and middle-aged people who have insomnia is more need to cause the attention of medical workers. This study hope that through the investigation and analysis, clearly to find out the risk factors in young and middle-aged patients with insomnia, and to explore the distribution characteristics and the common syndromes of the TCM type, offer basis for the prevention and TCM diagnosis and treatment norms and clinical curative effect evaluation system in young and middle-aged patients with insomnia.MethodsIn this study, case-control study was used, according to the inclusion criteria, exclusion criteria,258 cases with insomnia and 201 cases with non insomnia in the young and middle-aged were collected from August 2014-December 2014 who visited to nerve psychological clinics of Traditional Chinese Medical Hospital of Guangdong Province.At the same time, not only recorded clinical data such as age, gender, marital status, physical condition and physiological condition,but also evaluated with Pittsburgh Sleep Quality Index questionnaire (PSQI), Life Event Scale (LES), Sleep Hygiene Awareness and Habits Scale (SHAP) of both group. What’s more, recorded data of syndrome differentiation of TCM in those cases with insomnia. Then use Epidata software to establish a database, SPSS 20 to statistic and analyze,Excel to make statistical charts. Comparison of mean between two group uses t test, measuring materials uses chi square test Analysis of risk factors uses Multiple linear regression and logistic regression.Result1. In the young and middle-aged with insomnia, female patients are more than male, female:male=3:1;age segment to 46-50 years old had the highest rate; followed by 41～45 and 56～60 years old, third for 26～30 years old.2. Age and work or study stress was positively related to sleep quality (PSOI score) young and middle-aged people with insomnia.3. Compared with control group, the insomnia group has significant difference in sex, exercise, bad habits, health status, chronic disease, operation/trauma/blood transfusion history, car/ship/plane, light and noise effects, hot or cold or change environment movement, reduce in excise, work or learning tension, worry about the future, negative life events, sleep hygiene awareness and habits. Then through the multi factor screening, concerns of the future, negative life events, sleep hygiene awareness and habits are correlated factors in young and middle-aged people who have insomnia. While sleep hygiene awareness is protective factor, the rest are risk factors4. TCM syndrome type in young and middle-aged patients with insomnia from more to less is Heart disturbed by Liver-fire Syndrome, Heart disturbed by Pyretic Phlegm Syndrome, Deficiency of Heart and Spleen Syndrome, Disharmony between the Heart and Kidney Syndrome, Deficiency of Heart-Cholecyst syndrome. The correlated factors of distribution of TCM syndromes is age, culture degree, marriage status, annual income status. The young patients with Heart disturbed by Liver-fire Syndrome and Heart disturbed by Pyretic Phlegm Syndrome to see more, deficiency of older people with Deficiency of Heart and Spleen Syndrome, Disharmony between the heart and kidney Syndrome Heart-Cholecyst deficiency syndrome of rare. Deficiency of Heart and Spleen Syndrome is more often to seem in Illiteracy, primary school, secondary school or junior high school patients, while Heart disturbed by Liver-fire Syndrome in higher education in those above. In single, separated/divorced patients, Heart disturbed by Liver-fire Syndrome and Heart disturbed by Pyretic Phlegm Syndrome are more likely to seem,while who married is Deficiency of Heart and Spleen Syndrome, widowed is Heart disturbed by Liver-fire Syndrome and Heart-Cholecyst deficiency syndrome. in high income patients, Heart disturbed by Liver-fire Syndrome is more,while in lower income is Deficiency of Heart and Spleen Syndrome and Heart disturbed by Liver-fire Syndrome. On a single TCM type, compared with men, women patients are more often to seem Heart disturbed by Liver-fire Syndrome, Deficiency of Heart and Spleen Syndrome and Heart-Cholecyst deficiency syndrome.Conclusion1. In young and middle-aged people, women prone to insomnia, age 46-50 years old patients are often to see more, its risk factors are the concerns of future, negative life events and poor sleep hygiene habits.2. TCM syndrome type in young and middle-aged patients with insomnia from more to less is Heart disturbed by Liver-fire Syndrome. The correlated factors of distribution of TCM syndromes is age, culture degree, marriage status, annual income status. Heart disturbed by Liver-fire Syndrome, Deficiency of Heart and Spleen Syndrome and Heart-Cholecyst deficiency syndrome are more often in women patients.