The Investigation Of The Distribution Regularity Of TCM Patterns Of Syndrome Of Insomnia And Psychology Situation Among The Imigrant Workers In Outpatient Of Jinnan Branch Of Jinjian City's Hospital

Objective: To study the distribution regularity of TCM(traditional Chinese medicine)patterns of syndrome of insomnia,sleeping status and psychology situation among immigrants working in the south of the city of jinjiang. Method: By utilizing an epidemiological approach, the TCM syndromes questionnaire, PSQI and SCL-90, we assess these insomnia sufferers' physical and mental conditions, who immigrated into jinjiang and were working in the south of the city, when they went to Jinnan Branch of Jinjian city's hospital, from March 2014 to February 2015. All these data were analyzed by statistical software. Result: 1?Basic situation: The data from 402 insomnia sufferers are available. Of them, the youngest is 20, the oldest 59, the most 20-49, males 153(38.06%) and females 249(61.94%). And the majority of them are junior high school educational background or below(354, 88.06%), assembly-line workers(267,66.94%), married(372, 92.54%). Rank seasons in rate of insomnia sufferers from high to low: autumn(35.82%), winter(23.13%), spring(22.39%), summer(18.66%);(2)The types of TCM syndrome patterns of insomnia: heart-spleen deficiency(30.69%), fire excess from yin deficiency(20.15%), pathogenic fire derived from stagnation of liver-QI(18.65%), exuberance of heart-fire(11.94%), heart-gallbladder Qi deficiency(11.94%), phlegm-heat attacking the heart(6.72%).(3)The distribution of types of TCM syndromes have no significant different in different genders, ages, marriages, occupations, educational background and seasons 2?PQSI survey: Compared with other groups, male, 40-49 and 50-60, low education background, self-employed, married, spring and autumn, have more items, which have significantly higher score value than other groups or the population. In time to fall asleep, the pathogenic fire derived from stagnation of liver-QI have significantly higher score value than the population(P<0.05).In sleep quality, time to fall asleep, sleep efficieny, sleep process, phlegm-heat attacking the heart have significantly higher score value than the population(P<0.05).In sleep process, PSQI total score exuberance of heart-fire have significantly lower score value than other groups and the population(P<0.05).In time to fall asleep, fire excess from yin deficiency have significantly lower score value than other groups and the population(P<0.05). Heart-spleen deficiency have no significant difference than the population(P>0.05). In sleep process and PSQI total score, heart-gallbladder Qi deficiency have significantly higher score value the population(P<0.05). 3?SCL-90 symptom scale survey: Of the 402 patients, in the physical symptoms, obsessive, depression, anxiety, hostility, phobia, psychosis, SCL-90 total score, positive number, average scores of positive items, the population have significantly higher score value than the norm(P<0.05). Compared with other groups, female, 20-29, no fixed occupation manual workers, low education background, unmarried, winter and spring, the pathogenic fire derived from stagnation of liver-QI and heart-spleen deficiency have more items, which have significantly higher score value than other groups or the norm(P<0.05). Exuberance of heart-fire have more items, which have significantly lower score value than other groups(P<0.05). The depression of the pathogenic fire derived from stagnation of liver-QI, the physical symptoms, phobia, psychosis, average scores of positive items of the heart-spleen deficiency, the average scores of positive items of fire excess from yin deficiency, the anxiety of heart-gallbladder Qi deficiency have the most high score value and higher than the norm and the population(P<0.05). Phlegm-heat attacking the heart have significantly higher score value in physical symptoms than the norm(P<0.05). Conclusion: 1?The main crowd of insomnia among the immigrant workers is female, married, 20-49 age, lower school educational background, assembly line operator, most in autumn. The Main TCM Syndrome Types are heart-spleen deficiency. And male, married, over 40, no fixed occupation manual workers, low school education background, in spring or autumn, are more serious. 2?Pathogenic fire derived from stagnation of liver-QI, heart-gallbladder Qi deficiency and phlegm-heat attacking the heart, have the most noticeable sleep disorder. Pathogenic fire derived from stagnation of liver-QI take more time to fall asleep. Phlegm-heat attacking the heart is poor in sleep efficiency. Heart-gallbladder Qi deficiency is poor in sleep process. Exuberance of heart-fire and fire excess from yin deficiency has milder insomnia. 3?Insomnia patients have more or less mental health problems. Female, 20-29, unmarried, no fixed occupation manual workers, in winter and spring, are especially more serious. Pathogenic fire derived from stagnation of liver-QI and heart-spleen deficiencies have the most prominent psychological problems, and probably have a greater relevance with psychological factors. Exuberance of heart-fire have milder psychological problem,and probably have a greater relevance with physiology factors. Pathogenic fire derived from stagnation of liver-QI is most obvious in depression. Heart-spleen deficiencies are obvious in physical symptoms, phobia, psychosis, psychological distress, Fire excess from yin deficiency in psychological distress, Heart-gallbladder Qi deficiency in anxiety, and phlegm-heat attacking the heart in physical symptoms.