Study On The Risk Factors And Distribution Characteristics Of TCM Syndrome Types In Middle-aged And Elderly Patients With Insomnia

Objective: Through investigation and research,this paper summarizes the risk factors of insomnia in middle-aged and elderly people,summarizes the distribution characteristics of TCM syndrome types of insomnia,and clarifies the correlation between the related risk factors of insomnia and the distribution of TCM syndrome types,so as to provide reference for the social intervention and prevention of insomnia and give full play to the advantages of traditional Chinese medicine.Methods: Middle-aged and elderly patients with insomnia who visited the outpatient department of Encephalopathy of the Affiliated Hospital of Changchun University of Chinese Medicine were selected as the research objects,according to the inclusion and exclusion criteria,300 patients were selected to fill in the questionnaire,the gender,age,occupation nature,chronic diseases,sleep environment and other general conditions,physical conditions,living conditions,as well as the four aspects of TCM diagnosis information were recorded,and the data of syndrome differentiation and treatment were collected at the same time.In addition,the PSQI was used to evaluate sleep quality,The Self-Rating Anxiety Scale and Self-Rating Depression Scale was measured,patients diagnosed with anxiety and depression state were not included in this study.Excel was used for information collation and SPSS 26.0 software was used for statistical analysis.The measurement data were expressed as mean ± standard deviation((?)±s),two independent sample t test was used to analyze the difference between the two groups,and analysis of variance was used to analyze the difference between three or more groups;count data were expressed as frequency and percentage,and chi-square test was used for comparison between groups;the statistically significant factors in univariate analysis were selected for multivariate analysis,and the multiple linear regression analysis method was used,P < 0.05 indicates that the difference is statistically significant in this paper.To explore the risk factors of insomnia in middle-aged and elderly patients,and to study the distribution characteristics of TCM syndrome types of insomnia.Results:1.Among the 300 middle-aged and elderly patients with insomnia,the female patients were significantly more than the male patients.the univariate analysis found that there were statistically significant differences in age,occupation nature,social scope and mode of living(P < 0.05).2.Multivariate analysis showed that the age of 66-75 years old was positively correlated with the occurrence of insomnia(Beta=0.202,P=0.000<0.05),which means that under the same conditions,the PSQI score of people aged 66-75 years old was 0.202 higher than that of other groups;the people whose occupation is intellectual work was positively associated with the occurrence of insomnia(Beta=0.15,P=0.008<0.05),which means that under the same conditions,the intellectual work people had a 0.15 higher PSQI score than other groups;people with a small social range were positively correlated with the occurrence of insomnia(Beta=0.134,P=0.017<0.05),which means that under the same conditions,people with a small social range had a 0.134 higher PSQI score than other people.3.The most common TCM syndrome type of insomnia in middle-aged and elderly people is liver depression turns fire syndrome(149 cases,49.67%),followed by deficiency of heart and spleen syndrome(39 cases,13%),the other syndrome types from more to less were deficiency of heart and bile and Qi syndrome(29 cases,9.67%),internal disturbance of phlegm and heat syndrome(25cases,8.33%),Yin deficiency and fire exuberant syndrome(17cases,5.67%),stomach qi incoherence syndrome(15cases,5%),heart-kidney incompatibility syndrome(14cases,4.67%),blood stasis internal obstruction syndrome(7cases,2.33%),heart fire exuberant syndrome(5cases,1.67%).The analysis of TCM syndrome type characteristics of insomnia showed that there were statistically significant differences in age and income(P< 0.05).Conclusion:1.The factors affecting the sleep quality of middle-aged and elderly patients with insomnia include age,occupation nature,social scope and mode of living.2.The age of 65-75 years old,the nature of occupation is intellectual work,and the small social range are the risk factors for insomnia in middle-aged and elderly people.3.The most common TCM syndrome type of insomnia in middle-aged and elderly people is liver depression turns fire syndrome,followed by deficiency of heart and spleen syndrome,the other syndrome types from more to less were deficiency of heart and bile and Qi syndrome,internal disturbance of phlegm and heat syndrome,Yin deficiency and fire exuberant syndrome,stomach qi incoherence syndrome,heart-kidney incompatibility syndrome,blood stasis internal obstruction syndrome,heart fire exuberant syndrome.Age and income affect the TCM syndrome type distribution of insomnia.