Characteristics Of Tumor Associated Insomnia And Treatment Based On TCM Syndrome Differentiation

Objective To explore the characteristics of insomnia in cancer patients and to explore the treatment of TCM syndrome differentiation and treatment by using various sleep related evaluation scale.Methods Based on the Pittsburgh sleep quality index(PSQI)and TCM Insomnia Symptom Assessment Scale,the sleep status of patients with malignant tumor were investigated by questionnaire.Insomnia diagnosis standard reference to "Chinese Medicine Department of internal medicine".Intervention treatment of patients with self-prescribed Yangxinanmian decoction.Using SPSS 14.0 software to collate data and statistics.Results This study were investigated effective cases in 80 cases,23 cases of male,57 cases of female;1 cases under 35 years old,24 cases between 36-55 years,.At the age of 40 cases,15 cases above 75 year old of;cultural level 15 cases for primary school and below,20 cases of junior high school,high school and technical secondary school in 38 cases,college degree and above in 7 cases.The primary tumor types were lung cancer and breast cancer,accounting for 46.3%and 18.7%,respectively.Tumor stage was I phase in 3 cases,stage II in 17 cases,stage III in 29 cases,and 31 cases in IV stage.The main clinical symptoms of insomnia include:difficulty sleeping,wake up early easy to wake up,shallow sleep much dream,sleep time is short and daytime residual symptoms.3 cases of insomnia by dialectical division standard is divided into empirical and deficiency,respectively,firelight Kang Sheng type in 12 cases,liver depression transforming into fire type 15 cases,phlegm heat disturbance type in 6 cases,hyperactivity of fire due to Yin Wang type in 6 cases,heart and spleen deficiency type in 38 cases,heart Qi and gallbladder Qi deficiency type.Chinese medicine treatment of insomnia in TCM syndrome points to improve,the clinical efficiency of 71.3%,the total effective rate of 87.5%,of which the empirical clinical efficiency of 75.8%,deficiency of the clinical efficiency of 70.2%.Conclusions Tumor associated insomnia patients with female dominated,age distribution in 56-75 years old,the higher education level,the higher the incidence of insomnia,cancer patients with lung cancer is the most easily cause insomnia,followed by breast cancer.The higher the tumor stage,the higher the incidence of insomnia.Tumor patients with insomnia,the most common symptom is difficulty falling asleep and early awakening easy to wake up,sleep time is short,the symptom characteristics is mixed with the actual situation,to the main deficiency,the type of deficiency of both the heart and spleen is most common.Patients with traditional Chinese medicine treatment can be significantly improved,in which the positive rate of improvement of symptoms than patients with deficiency syndrome(P<0.05).