Purpose:To understand the liver depression integral,liver depression and discipline of concurrent syndrome element in the liver depression type of perimenopausal women with non-organic insomnia and other common sleep disorders,and investigate the pathogenesis of traditional Chinese medicine on perimenopausal women sleep disorders,provide a reliable theoretical basis for the prevention and treatment of he disease.Method:A total of 241 women with perimenopausal sleep disorders were enrolled in Fujian Province-owned Hospital,Fujian Province-owned Hospital Wuyishan branch from January 2016 to January 2017.including 139 case in the non organic sleep disorders group,102 cases in other common sleep disorders group(Sleep apnea,periodic leg movement,night terrors,nightmares).The serum levels of FSH,LH and E2 were measured by electrochemiluminescence immunoassay.The sleep quality index of Pittsburgh was recorded.According to Zhu Wenfeng’s syndrome differentiation principle,the above cases were calculated and divided into different grades,at the same time record every concurrent syndrome element,and finally the above data were statistically analyzed.Results:1.Two groups of liver depression type of sleep disorder perimenopausal women are in the majority with liver depression level 3;Nonorganic insomnia group liver depression score are higher than other common sleep disorders,and the difference was statistically significant(t = 2.855,P-=0.005);PSQI in different groups of sleep disorders in different liver depression were different and statistically significant(respectively:Z =-5.420,P<0.01;Z =-2.269,P=0.023).2.The first sixth of the concurrent location syndrome element in non-organic insomnia group in order:kidney,heart,mind,gall bladder,spleen,uterus;And the disease nature of syndrome element in order:yin deficiency,blood deficiency,qi deficiency,yang deficiency,yang hyperactivity,heat.3.The first sixth of the concurrent location syndrome element in other common sleep disorders group in order:kidney,heart,gallbladder,mind,bones,external;And the disease nature of syndrome element in order:qi deficiency,yin deficiency,blood deficiency,yang deficiency,dampness,phlegm.4.The frequency of concurrent syndrome element including heart,gallbladder,bones,heat,phlegm,dampness and qi deficiency were lower than those of other common sleep disorders,and the differences were statistically significant.(respectively:χ2=6.285,P=0.012;χ2=34.187,P<0:01;χ2=26.007,P<0.01;χ2=5.170,P=0.023;χ2=15.704,P<0.01;χ2=9.925,P=0.002;χ2=12.055,P=0.001).5.The integral of concurrent syndrome element including heart,gallbladder,bones,heat,phlegm,dampness and qi deficiency were higher than those of the non-organic insomnia group,and the difference was statistically significant.(respectively:t=-2.726,P=0.007;Z=-7.152,P<0.01;Z=-2.184,P=0.029;Z=-4.856,P<0.01;Z=-4.139,P<0.01,t=-2.861,P=0.005);N on-organic insomnia group concurrent syndrome element integral of yang hyperactivity,blood deficiency were higher than other common sleep disorder group,and the difference was statistically significant;(respectively:t=3.872,<0.01;t=2.306,P-=0.022).Conclusion:1.The degree of the liver depression in perimenopausal women with non-organic insomnia was higher than that of other common sleep disorders.The greater the degree of liver depression,the worse the quality of sleep.2.The liver depression type of perimenopausal women with non-organic insomnia and other common sleep disorders may be the most common with different location and nature of syndrome element,the most common location syndrome element is kidney and heart,the nature syndrome element is mainly based on deficiency syndrome;The traditional Chinese medicine pathogenesis of other common sleep disorders may more complicated than non-organic insomnia. |