Study On Factors Related To Insomnia And Characteristics Of TCM Syndromes Based On Observational Data

Objective:to explore the factors related to insomnia and the characteristics of TCM syndromes under multi-factor conditions,To summarize the characteristics of TCM syndrome distribution in insomnia population,At the same time,it provides valuable reference basis for TCM syndrome differentiation and treatment of insomnia,and gives play to the advantages of TCM in the treatment of insomnia.Methods:In changchun university of Chinese medicine affiliated hospital of insomnia insomnia ZhuanBing clinics as the research object,collected up to the standard of insomnia include population information,record the patient's age and gender culture degree of physical exercise professional living way these a few respects such as marital status,family income,and the information of TCM syndrome characteristics according to the severity of insomnia,divided into two groups: the Pittsburgh sleep 7 points of insomnia and Pittsburgh sleep index < 6 points applied descriptive statistical tests Logistic regression,cluster analysis and other statistical methods were used to explore the population information characteristics of insomnia patients,summarize the related factors of insomnia and characteristics of TCM syndromes,and provide evidence-based medical evidence for the prevention and treatment of insomnia,as well as valuable reference for TCM dialectical treatment of insomnia.Results:1.In 300 cases of insomnia,the distribution of living way appeared significant difference in patients living with family is the 256 cases,accounting for 85.3%,and patients with solitary is 44 cases,accounting for 14.7% of insomnia patients live with their families in the high group was 133 cases(93.0%),and 44 patients with solitary,accounted for 7.0% of insomnia patients live with their families in the low group was 123 cases,accounting for 78.3%,34 patients with solitary,accounting for 21.7% In univariate logistic regression,living alone was p<0.05,OR=0.242,and 95%ci =0.103-0.523.2.Multivariate logistic regression results showed that unmarried :OR=6.292,95%ci =0.854-63.835;Age range from 26 to 40 :OR=2.571,95%ci =0.999-6.889.Age range from 51to60:OR=1.213,95%ci=0.521-2.835;OR=1.996,95%ci=0.295-3.300;OR=0.730,95%CI=0.443-1.200;Living mode :OR=0.284,95%CI=0.126-0.590.3.The results of syndrome combination obtained by cluster analysis were as follows :1.Difficulty in falling asleep;2.Cold and hot intercourse,irritable,dizzy,dry mouth,bitter mouth,constipation,tongue,red and yellow moss;3.God tired force poor headache afraid of hot tongue white tongue light red tongue coating greasy pulse;Fear of cold chest tightness waist knee sour soft stool shape tinnitus.Conclusion:1.Univariate logistic regression showed that living alone was the main factor that distinguished insomnia with Pittsburgh sleep index of 7 from insomnia with Pittsburgh sleep index of < 6,indicating that insomnia was closely related to living style.2.The results of multivariate logistic regression showed that unmarried people aged from 26 to 40 years old,those aged from 51 to 60 years old,those with university education and above were risk factors for insomnia,and those with occupational knowledge and living style of living alone were protective factors for insomnia.3.The results of cluster analysis showed that the TCM syndrome types of insomnia patients with Pittsburgh sleep index of 7 points were mainly: the syndrome of heart qi deficiency,the syndrome of liver stagnation,the syndrome of fire,the syndrome of heart and spleen,Deficiency and decline of kidney Yang.