| OBJECTIVE: To analyze the correlation between TCM constitution and insomnia,somatization and depression in patients with hypertension and OSAHS by analyzing the correlation between TCM constitution and insomnia,somatization and depression in 85 hypertensive patients with OSAHS.Hypertension combined with OSAHS Chinese medicine pathogenesis,mental state of mind,Chinese medicine constitution and syndrome differentiation to provide clinical basis and new treatment ideas.METHODS: 85 cases of patients with hypertension from Gansu Provincial Hospital of Traditional Chinese Medicine(August 15,2015 to November 20,2015)were enrolled in this study.There was no complication Of patients with hypertension combined with OSAHS,whose age is: 18-79 years old.(SCL-90),insomnia,Chinese medicine constitution(TCM constitution scale),polysomnography(PSG),etc.,the diagnostic criteria for hypertension based on the "blood pressure,symptomatic self-rating scale(SCL-90)Chinese Journal of Hypertension Prevention and Treatment(2010)";OSAHS diagnosis based on" Chinese Medical Association Respiratory Diseases Branch of sleep apnea "developed" obstructive sleep apnea hypopnea syndrome diagnosis and treatment guidelines(revised in 2011 The SCL-90 scale is an international general scale,which is evaluated according to international standards.The constitution of Chinese medicine is collected by Shanghai-Shanghai,(DS01-A),where the image analysis and data processing by the computer(intel3 Core processor)to complete all the data are recorded SPSS19.0 statistical software for analysis,the use of computer technology,The data were recorded with the mean ± standard deviation(± s).The correlation between the mean and the quartile was not accorded with the normal distribution.The correlation between the blood pressure classification and the severity of OSAHS was Spearman rank correlation,blood pressure grade and OSAHS were compared with somatization,depression,insomnia and TCM constitution.The relationship between rank and test and chi-square test,TCM constitution and insomnia time,depression degree and somatization degree were analyzed by discriminant analysis.All statistical methods were used bilateral test,P <0.05 that there were statistical differences,the results meaningful.RESULT: 1.Basic information: The 85 cases of hypertension with OSAHS patients with hypertension,36 cases of male,accounting for 42.35%,49 cases of women,accounting for 57.65%;age range of 18 to 79 years old,of which 50 to 60 years old The highest population,accounting for 32.94%,followed by more than 70 years of age,accounting for 22.35%,again 60 to 70 years old,the proportion of 17.65%,85 cases of hypertension with OSAHS patients with an average age of 56.45 ± 14.00(years);The mean body mass index(BMI)was: 26.43 ± 3.07,and the major components of OSAHS patients with hypertension were middle-aged and elderly.2.PSG monitoring data: With the increase in blood pressure levels,AHI index also increased,the average blood oxygen saturation in patients were lower than the normal level,the lowest blood oxygen saturation with the increase in blood pressure decreased sleep efficiency is also reduced.3.According to the study of physical constitution of 85 cases of hypertension combined with OSAHS patients,the highest proportion of phlegm constitution was 24.71%,followed by blood stasis accounted for 17.65%,qi deficiency accounted for 15.29 %,Qi stagnation was 14.12%,wet heat was 9.41%.4.Scale factor test results: for the individual factors(somatization,depression and insomnia)and the merger factor(somatization with depression,somatization with insomnia and insomnia with depression),the proportion of women were higher than men.The frequency of patients with grade I and II was higher than that of grade III hypertensive patients,while the number of patients with grade I and II was close to 1: 1.The frequency of mild and moderate patients was lower in patients with OSAHS than those with severe OSAHS,and the proportion of mild patients was lower than that of moderate patients.CONCLUSION: 1.the relationship between different levels of hypertension and physical fitness: grade I hypertensive blood stasis and qi deficiency more people,II grade hypertensive patients with the largest number of phlegm,according to Fisher test results show P <0.05,The difference was statistically significant,and there was a certain correlation between the constitution of TCM and the classification of hypertension.2.different levels of OSAHS and physical relevance: OSHAS different degree of disease in the phlegm,blood stasis and qi stagnation frequency were higher than the number of other physical fitness,and phlegm in the most severe cases,suggesting that phlegm Quality,blood stasis and qi stagnation and OSAHS the degree of disease have a certain relevance.3.Discrimination analysis of traditional Chinese medicine constitution and insomnia,depression and somatization: Depression score may play a major role in the final judgment,and after the method of reciprocal and reciprocal confirmation,it is clear that the prediction of peace is correct and The correct rate of prediction is 66.7%,and the correct rate of phlegm and qi deficiency is 38.1% and 46.2% respectively.This means that according to insomnia time,somatization score,depression score of these three data to predict whether the combination of OSAHS patients with hypertension,if the results are flat quality,qi stagnation,phlegm and qi deficiency,then the actual patient It is indeed the possibility of these four kinds of physical or large.4.Correlation analysis between insomnia time,somatization score and depression score: There was a positive correlation between depression score and somatization score,the correlation coefficient was 0.421,P <0.01,the more severe the degree of depression,somatic manifestation The correlation coefficient was 0.572,P <0.05,that is,the longer the insomnia time,the more serious the degree of depression,the more serious the relationship between insomnia and depression scores,... |
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