The Influence Factors Of Insomnia In Patients With Anxiety And The Related Research Of Syndrome In Tcm

Objective:From two aspects of mental and body, research the influence factors of insomnia in patients with anxiety, and the influence factors and the relationship between the incidence and severity of anxiety. And discuss related syndrome of TCM in patients with anxiety.Methods:With the method of cross-sectional survey, will be incorporated into the standard into insomnia patient, carries on the general data, TCM four diagnostic information, PSQI, Hamilton anxiety scale and insomnia, nervousness digital evaluation questionnaire survey. According to the Hamilton anxiety scale scores, and presence of clinical symptoms of anxiety, and there will be anxiety symptoms and anxiety scale scores of14points or more patients into groups. Without test anxiety clinical manifestation and scale score<14patients divided into no anxiety group. Research insomnia patients mental psychological factors, social life and physical symptoms of anxiety emergence rate and the degree of anxiety, insomnia and statistics with anxiety in patients with clinical symptoms, summary analysis of the traditional Chinese medicine syndrome. Using SPSS17.0statistical software for data generated by descriptive statistics, normality test, nonparametric test, chi-square test, correlation analysis and so on.Results:1.It is about80%of the insomnia patients with anxiety. Anxious state patients are mainly female. Male to female ratio is about1:4; Age is mainly distributed in between30to40and50to60years old of middle-aged and young and middle-aged people. To knowledge workers for the vocational characteristics, the ratio of mental and physical strength is about2.5:1. A university degree is the one of the most cultural degrees. The second is the high school diploma. The patients often accompanied by cervical spondylosis and diseases such as hypertension, dyslipidemia.2.Upset, difficulty sleeping, and sleep not real easy to wake up, easy to urgent irritability, forgetfulness is anxiety state in patients with the highest rate of five symptoms, were79.87%,75.47%,73.58%,71.70%,71.70%. Neck and shoulder stiff appearance rate has reached66.67%.3.Characteristics of anxiety in patients with insomnia, according to the numerical rating scale score, the difficulty falling asleep and sleep not real easy to wake up is the highest. The score is5.05and5.03. Fol lowed by exhausted after wake up, it is4.11. The score of much dream is4.04. Wake up is at3.31.According to the Pittsburgh sleep scale score, sleep incubation period is2.18, the sleep quality is2.31, daytime dysfunction is2.18. The result of the two scales is the same. 4. Anxiety rate of patients with the emergence of the spirit of the common psychological factors:the temper is83.02%, is70.44%love angry, worry is74.84%more, take excessive is57.23%, and the pursuit of perfection is60.38%, time urgency was33.96%, nervous is72.33%. Whether love angry, whether to take on too much and nervous, the emergence of this group a few anxiety status rate is extremely significant difference (P<0.01). And whether the temper, worry more, the pursuit of perfect, time urgency, the emergence of this group a few anxiety status rate there is no significant statistical difference (P>0.05). General mental state of anxiety between groups in terms of psychological factors in rate also is extremely significant difference (P<0.01). How much mental psychological factors and anxiety levels were positively correlated, has the extremely significant correlation between the statistical difference (P<0.01).5. Somatoform symptoms is anxiety somatization performance and its influencing factors. Stiff shoulder and neck and pain is the main performance of the somatic symptoms. Presence of stiff neck shoulder, patient anxiety showed no obvious statistical significance (P>0.05), but the degree of anxiety had significant statistical difference (P<0.05). Presence of neck and shoulder pain, anxiety emergence rate and the anxiety level of patients with significant statistical difference (P<0.05). Patients with stiff neck shoulder, neck and shoulder pain and video work, and doing little to way of life has a close relationship.6. TCM symptoms of nerves, difficulty sleeping, and sleep not real easy to wake up, easy to urgently irritable insomnia, forgetfulness is the highest rate of five symptoms associated with anxiety patients, respectively,79.87%,75.47%,73.58%,71.70%,71.70%. Stiff neck shoulder appearance rate has reached66.67%. Syndromes characterized by hyperactivi ty of heart-liver fire more two deficiency, liver and kidney deficiency, heart-spleen deficiency, liver depression of the fire and meridian impassability. Among them with something strong, disturbed mind, leading to hyperactivity of heart-liver fire is the most common.Conclusion:It is about80%of the insomnia patients with anxiety. State of anxiety in the patients with insomnia of multiple was born in women, the age is given priority to with middle-aged and young and middle-aged, have higher cultural level, more engaged in mental Labour. Insomnia is more difficulty falling asleep, sleep not real easy to wake up, wake up tired, apart from the above symptoms are common clinical, easy irritability, forgetfulness, fatigue weakness, stiff neck shoulder, lumbar debility, etc. Mental psychological factors have a close relationship with the incidence of anxiety, with love angry, take on too much, easy to tension is most obvious, and the spirit of the psychological factors have, the more the more level of anxiety in the patients. What factors of the social life is also important aspect affecting anxious state, especial ly the occurrence of events too much stress and anxiety state has a close relationship. Somatoform symptoms is anxiety somatization performance and its influencing factors. Stiff shoulder and neck and pain is the main performance of the somatic symptoms. Video assignments and sit still in the way of life though and anxious state, there is no direct relationship, but it is closely associated with stiff neck shoulder pain, and stiff neck shoulder pain is also the important cause leading to the state of anxiety, and anxiety levels were positively correlated. Insomnia associated with anxiety in patients with clinical manifestations in addition to the insomnia symptoms are common, and easy irritability, forgetfulness, fatigue weakness, stiff neck shoulder, lumbar debility, etc. Syndromes characterized by hyperactivity of heart-liver fire more two deficiency, liver and kidney deficiency, heart-spleen deficiency, liver depression of the fire and meridian impassability. Among them with something strong, disturbed mind, leading to hyperact ivi ty of heart-liver fire is the most common. Fire Yin or duration long, dark Yin fluid, cause liver and kidney deficiency. Contemplation, internal lesion caused by overexertion glove, the glove to two empty. Move is not easy, and turn the fire, the fire one mind. In addition, can also be based on the syndrome associated with the meridian impassability.