Investigation On Sleep Quality Of College Students And Characteristics Of TCM Syndrome In Insomnia

PurposeIn this paper,through a systematic study of the related literature of Chinese and Western Medicine in insomnia,the etiology and pathogenesis of insomnia in Chinese Medicine and the pathological mechanism of insomnia in Western Medicine are discussed,the related factors of Chinese Medicine constitution are studied,the relationship between Chinese Medicine constitution and insomnia is summarized,and the treatment of insomnia is explored by Chinese Medicine.On the basis of theoretical research,the epidemiological investigation of college students was carried out to analyze the related factors affecting sleep of college students,in-depth study of the relationship between constitution of college students and the occurrence of insomnia,analysis of the classification and distribution of traditional Chinese Medicine constitution of college students with insomnia,to provide reference for the prevention of college students suffer from insomnia.A cross-sectional survey was conducted on patients with insomnia in Hubei Provincial Hospital of Traditional Chinese Medicine to analyze the characteristics of TCM syndromes of insomnia and verify whether constitution is related to syndrome types,so as to provide reference for TCM clinical treatment of insomnia.Methods1.A theoretical study of insomnia: This paper reviews the ancient medical records and modern scholars' understanding of the disease name,etiology,pathogenesis and treatment of insomnia.This paper analyzes the etiology and pathogenesis of insomnia in Chinese medicine,and concludes that the imbalance of Yin and Yang and the absence of Yang into Yin are the pathogenesis of insomnia.Meanwhile,the status quo of the epidemiological research on insomnia and the correlation between TCM constitution and insomnia are summarized,which provides a theoretical basis for the epidemiological investigation of insomnia in college students.2.An epidemiological study of insomnia in college students: The application of questionnaire normal line of college students to conduct a survey of sleep quality,contains 800 students.The contents of the questionnaire include: the basic information of college students is collected by the self-made demographic information table of college students,including age,gender,place of origin,etc.Pittsburgh sleep quality index scale(PSQI)assess the sleep status of respondents,self-evaluation of scale by 19 items and five his review of items,including 18 entry score for entry,including seven dimensions,respectively: subjective sleep quality,sleep time,sleep time,sleep efficiency,sleep disturbance,hypnotic drug application and daytime function.We made a questionnaire about sleep-related factors for college students,including study pressure,school satisfaction,major satisfaction,etc,to evaluate the related factors that may affect sleep.TCM constitution scale developed by Professor Wang Qi.This questionnaire is a subjective symptom scale,which includes subscales such as calmness and species-bias constitution.Each subscale contains one item,and the whole questionnaire has a total of 60 items.The original score and transformed score were calculated,and the constitution types of the subjects were determined according to the criteria.Excel was used to establish the database,and SPSS 22.0 statistical software was used for data analysis.3.A cross-sectional study of insomnia patients: Information of 292 patients with insomnia who were hospitalized and outpatient in encephalopathy and psychopathy department of Hubei Provincial Hospital of TCM from August 2020 to February 2021 were collected.Self-made Insomnia Syndrome Information Inventory(including basic information,medical history,symptoms,signs,past history,personal history,family history,informed consent,etc.).Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)were used.Excel was used to establish the database,and SPSS 22.0 statistical software was used for data analysis.KMO and Bartlett sphericity tests were adopted for the data of the four diagnoses of traditional Chinese Medicine.Data dimensionality reduction was performed after the factor analysis,and the load matrix of each factor was obtained.After the transformation matrix,the corresponding items of each common factor were obtained,and then the correlation between common factors was analyzed.Results1.Investigation on sleep quality of college students:A survey of 800 college students in Hubei University of Traditional Chinese Medicine(10cases fell off,790 cases were eventually included in the study),the results showed: 216 cases of insomnia,insomnia incidence rate of 27.34%(216/790),there were 574 cases without insomnia(72.66%);The types of insomnia were as follows: difficulty in falling asleep 43.52%(94/216),excessive dreaming 17.13%(37/216),easy waking 14.81%(32/216),early waking 3.70%(8/216),and other 20.83%(45/216).On this basis,further analysis of the risk factors affecting college students' sleep is of great significance for improving college students' sleep.In the analysis of the factors affecting sleep,it is found that lack of physical exercise,dissatisfaction with school and major,study pressure and other factors have a significant impact on the occurrence of insomnia of college students,while gender,age,origin of students and other aspects have no significant impact on sleep.Multivariate Logistic regression analysis was conducted on the single factor affecting college students' sleep.The results showed that lack of physical exercise and study pressure were significant risk factors for college students' insomnia(OR1=0.614,OR2=2.442),and active physical exercise was the protective factor(OR=0.614).2.Analysis of relation between constitution and insomnia of college students:A investigation of 800 college students of Hubei University of Traditional Chinese Medicine(10 cases fell off and 790 cases were finally included in the study).The study found that bias constitution was the susceptibility factor for insomnia,and Yin deficiency was the most obvious.The PQI score of insomnia college students was positively correlated with Qi stagnation and Qi deficiency,negatively correlated with Yang deficiency and Ping Ping,and had no significant correlation with Yin deficiency,dampness and heat,blood stasis,phlegm and dampness,and intrinsic quality.3.Analysis on the characteristics of TCM syndromes in insomnia patients:By collating and analyzing the information of 292 insomnia patients,Patients with insomnia symptoms and signs of traditional Chinese medicine according to the frequency order from large to small is difficulty falling asleep,lack of energy,upset irritability,early awakening,forgetfulness,dizziness,headaches,depression,dreaminess,xerostomia,dark red tongue,inattention,tongue reddish,pulse heavy fine,thin yellow coating on the tongue,sensation of chill,slow pulse,The tongue coating Huang Hou,timid easily frightened,oreness and weakness of waist and knees,constipation,psychentonia,poor appetite,tidal fever and night sweating,complexion shaohua,pulse heavy string,dark purple tongue,a tongue with yellow.It is concluded that the diseases of insomnia are mostly located in the heart,liver,spleen and kidney,and the diseases are mainly attributed to spleen deficiency,blood deficiency,liver stagnation,phlegm dampness,Yin deficiency and kidney deficiency.The syndrome types are more common in the syndrome of liver stagnation and fire,Yin deficiency and fire,heart and spleen deficiency and heart-kidney non-communication syndrome.Conclusion1.The incidence of insomnia among college students is 27.34%,among which school satisfaction,professional satisfaction,physical exercise and study pressure are related to the occurrence of insomnia among college students.2.Bias constitution is related to insomnia of college students,which is mainly yin deficiency,damp heat and qi stagnation.3.The diseases of insomnia are mostly located in the heart,liver,spleen and kidney,and the diseases are mostly attributed to spleen deficiency,blood deficiency,liver stagnation,phlegm dampness,Yin deficiency and kidney deficiency.The syndrome types are mainly composed of liver stagnation and fire syndrome,Yin deficiency and fire abundant syndrome,heart and spleen deficiency syndrome and heart-kidney non-communication syndrome.