Clinical Study On The Constitution Of Traditional Chinese Medicine In 184 Patients With Insomnia

Objective: Based on the theory of Chinese medicine constitution,this paper studies the constitution classification of insomnia patients,and combined with the results of sleep breath monitoring,to explore the sleep quality of insomnia patients and the distribution of Chinese medicine constitution.Methods: A cross-sectional survey was conducted to summarize the constitution of 184 hospitalized patients who met the diagnostic criteria of insomnia,and the sleep indexes of patients with different constitutions were objectively analyzed by Pittsburgh Sleep Index Scale(PSQI),Epworth Sleepiness Scale(ESS)score,portable sleep breathing monitoring(PSG),and comprehensive analysis results were used to explore the sleep conditions and differences of patients with different constitutions.Results: 1.General information: Among 184 patients,102 were female(55.4% of the total number),82 were male(44.6% of the total number);female patients were more than male patients.The age distribution of the nine groups was significantly different(p<0.05).2.Results of constitution distribution: Among 184 patients,the number of qi-depression was the largest(26.1%),followed by calm quality(17.4%),followed by Qi-deficiency(14.1%),Yin-deficiency(12.5%),Yang-deficiency(11.4%),phlegm-dampness(8.2%),dampness-heat(4.9%),blood-stasis(2.7%)and idiosyncrasy(2.7%).Among the young group and the middle-aged and elderly patients,there were 37 in the young group,with the largest number of qi depression(62.16%)and the smallest number of blood stasis(0);147 in the middle-aged and elderly group,with the largest number of people with deficiency constitution(43.53%)and the smallest number of people with special constitution(2.72%).It can be seen that the young group was dominated by Qi depression,and the middle-aged and elderly groups were dominated by deficiency constitution.3.ESS scale score: the highest ESS score was dampness-heat quality,with an average score of 6.67 ± 3.77,followed by phlegm-dampness quality,with an average score of 4.80±3.36.There was no significant difference in ESS scores among the other constitutions,and there was no significant difference among the groups(p>0.05).4.PSQI score: the highest score of PSQIis 19 points,the lowest score is 7 points,among which the highest score is Qi deficiency.The PSQI scores of the nine groups of patients have obvious differences(p<0.05),suggesting that there are differences in PSQI scores between different TCM constitutions.5.Sleep monitoring indicators: all patients were mainly latent sleep,lack of deep sleep,rapid oculomotor period was lower than normal value,there was no significant difference between the monitoring indicators of PSG(p>0.05).Conclusion: 1.Insomnia patients are mainly biased constitution;2.Insomnia patients in middle and old age are mostly deficient constitution,and young patients are mostly qi-depressed constitution;3.Insomnia patients in female are mostly qi-depressed constitution,while wet constitution is more common in male;4.There are differences in sleep quality among patients with different constitutions,and the quality of flat and flat sleep is different from that of biased constitution,while the quality of sleep is poor.5.The patients with insomnia of different constitution mainly suffer from light sleep and lack of deep sleep.There is no significant difference in sleep efficiency and sleep stage among different constitution.