| Objective:By cross-sectional study,this study for the elderly and middle-aged and young patients with insomnia,the general information freely,TCM syndrome types,constitution and so on carries on the descriptive statistical analysis,correlation analysis was carried out on the constitution and syndrome types,clustering analysis was carried out on the traditional Chinese medicine,etc,in the hope of elderly and middle-aged and young patients with insomnia constitution,card type,treatment characteristics,to provide certain clinical basis for the TCM prevention and treatment of insomnia.Methods:With reference to the International Classification of Sleep Disorders(3rd Edition),a random survey elderly patients with insomnia and middle-aged and young patients with insomnia,300 each,who meet diagnostic criteria and can cooperate to study,by homemade the insomnia patients health and cure of syndrome clinical questionnaire,Pittsburgh sleep quality index(PSQI),Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD)and Wang Qi nine kinds of physical assessment scale and other assessment tools.The patients with insomnia were evaluated,and their personal information,sleep quality,psychological status,and TCM constitution were collected.SPSS25.0 statistical software was used for statistical analysis.The statistical methods involved include descriptive statistical analysis,frequency distribution statistics,rank sum test,K-W test,discriminant analysis,cluster analysis,etc.Results:1.Among all the insomnia patients,female patients were the most,432 cases in total,accounting for 72.00%;Mental work patients were more,396 cases,accounting for 66.00%;Chronic insomnia was the most common,490 cases(81.67%).2.The chief complaint of insomnia was that the elderly mainly sleep easily wake up,a total of 140,accounting for 36.65%;the middle-aged and young people mainly had difficulty falling asleep,185 cases(44.90%).3.Depression and anxiety are the main concomitant symptoms of the elderly,middle-aged and young insomnia patients.In the distribution study of Hamilton Anxiety and Depression Scale,217 cases(72.33%)of the elderly group were associated with anxiety or possible anxiety.There were 240 patients(80.00%)with anxiety in middle-aged and young group,and there was no statistical difference between them(P>0.05).243 cases(81.00%)were associated with depression in middle-aged and young group.227 cases(75.67%)of the elderly group were associated with depression or possible depression,and there was no statistical difference between them(P>0.05).4.The constitution of elderly insomnia patients:qi-deficiency constitution 80(26.67%)>yin-deficiency constitution 73(24.33%)>qi-stagnation constitution 55(18.33%)>damp heat constitution 27(9.00%)>blood stasis constitution 23(7.67%)>yang deficiency constitution 21(7.00%)>phlegm-dampness constitution 16(5.33%)>special talents and physique 4(1.33%)>peace constitution 1(0.33%).Syndrome type:deficiency of heart and spleen 87(29.00%)=syndrome of yin deficiency and fire swelling 87(29.00%)>syndrome of phlegm and heat internal disturbance 58(19.33%)>syndrome of stagnation of liver and fire 42(14.00%)>syndrome of qi deficiency of heart and gallbladder 14(4.67%)>syndrome of blood stasis and heart disturbance 12(4.00%).Yin deficiency is closely related to yin deficiency and fire flourishing syndrome,and qi deficiency is closely related to heart and spleen deficiency syndrome.Among the elderly patients with insomnia,198(66.00%)had co-clipping disease,among which cardiovascular and cerebrovascular diseases were the most common.Traditional Chinese medicine frequency of usage of Chinese medicine in the top 20 are:poria with hostwood(146),spina date seed(119),poria cocos(113),rhizoma atractylodis macrocephalae(107),caulis polygoni multiflori(106),liquorice(99),angelica sinensis(97),polygala root(96),mother of pearl(95),rhizoma coptidis(91),radix bupleuri(78),cortex albiziae(77),dried rehmannia root(75),codonopsis pilosula(73),radix paeoniae alba(71),scutellaria baicalensisi(71),ligusticum wallichii(67),red date(65),salvia miltiorrhiza bge(64),radix pseudostellariae(63).Mainly classified into the heart and spleen meridian,mostly nourishing yin and clearing heat,invigorating qi and spleen,ningxin and tranquilizing products.Most of them are composed of prescription drugs such as tianwang buxin pills,suanzaoren decoction,guipi decoction,huanglian wendan decoction,longgu muli decoction,xiaoyao granula and so on.5.The constitution of middle-aged and young insomnia patients:qi-stagnation constitution 93(31.00%)>qi-deficiency constitution 53(17.67%)>yin-deficiency constitution 50(16.67%)>dampness-heat constitution 22(7.33%)=phlegm-dampness constitution 22(7.33%)>yang deficiency constitution 21(7.00%)>blood stasis constitution 20(6.67%)>peace constitution 10(3.3 3%)>the specific endowment constitution 9(3.00%).Syndrome type:syndrome of stagnation of liver and fire 81(27.00%)>syndrome of phlegm-heat attacking internally 66(22.00%)>deficiency of heart and spleen syndrome 64(21.33%)>heat syndrome due to yin-deficiency 61(20.33%)>syndrome of qi deficiency of heart and gallbladder 20(6.67%)>syndrome of blood stasis and heart disturbance 8(2.67%).Qi-stagnation constitution is closely related to syndrome of stagnation of liver and fire.Among the young and middle-aged insomnia patients,the frequency of double clip disease was 94,accounting for 31.33%,among which the digestive tract diseases were the most common.Traditional chinese medicine frequency of usage of chinese medicine in the top 20 are:poria cocos(140),poria with hostwood(136),radix bupleuri(129),spina date seed(121),salvia miltiorrhiza bge(117),rhizoma coptidis(116),cortex albiziae(112),caulis polygoni multiflori(101),mother of pearl(99),radix cureumae(96),polygala root(94),angelica sinensis(92),codonopsis pilosula(92),rhizoma atractylodis macrocephalae(88),liquorice(87),radix paeoniae alba(86),citrus(76),semen platycladi(65),polygonatum kingianum(61),calcined oyster shell(58).Mainly classified into the heart,liver meridian,mostly for liver qi,heat purging fire,ningxin tranquilizing products.Most of them are composed of prescription drugs such asxiaochaihu decoction,caihujialongumu li decoction,xiaoyao granula,huanglian wendan decoction,spleen-restoring decoction and so on.6.In the analysis of the correlation between the elderly group and middle-aged and young group,the Pittsburgh Sleep Quality Index was only correlated with the syndrome types of middle-aged and young patients with insomnia,and there was no significant correlation with the others.When all the samples were put together for correlation analysis,it was found that the Pittsburgh Sleep Quality Index had a certain correlation with physique and syndrome type,and patients with blood stasis constitution and syndrome of blood stasis and heart disturbance were the worst in sleep quality.Conclusion:1.More female patients,more mental work patients,more chronic insomnia patients.2.More than 70%of the elderly,middle-aged and young patients with insomnia accompanied by anxiety and depression,emotion is an important pathogenic factor.3.The main syndromes of elderly insomnia patients are yin-deficiency constitution and qi-deficiency constitution.The syndrome types are syndrome of yin deficiency and fire swelling and deficiency of heart and spleen.Yin deficiency and fire flourishing syndrome is closely related to yin-deficiency constitution and deficiency of the heart and spleen is closely related to qi-deficiency constitution.The patients with concurrent clipping disease accounted for 66.00%,most of which were cardiovascular and cerebrovascular diseases.Yin deficiency is closely related to yin deficiency and fire flourishing syndrome,and qi deficiency is closely related to heart and spleen deficiency syndrome.Traditional chinese medicine mainly are classified into the heart and spleen meridian,mostly nourishing yin and clearing heat,invigorating qi and spleen,ningxin and tranquilizing products.4.In middle-aged and young insomnia patients,qi-stagnation constitution is more,syndrome of stagnation of liver and fire is more.Syndrome of stagnation of liver and fire is closely related to qi-stagnation constitution.The patients with concurrent disease accounted for 31.33%,most of which were digestive tract diseases.Traditional chinese medicine are mainly classified into the heart,liver meridian,mostly for liver qi,heat purging fire,ningxin tranquilizing products.5.Patients with blood stasis constitution and syndrome of blood stasis and heart disturbance were the worst in sleep quality. |
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