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失眠症患者的中医证素分布规律反其共病特征

李苗苗 赵宾 仝超 蔡敏 文清华

四川中医2023,Vol.41Issue(10):84-88,5.
四川中医2023,Vol.41Issue(10):84-88,5.

失眠症患者的中医证素分布规律反其共病特征

Distribution law of TCM syndrome elements and their comorbidities in patients with insomnia

李苗苗 1赵宾 2仝超 1蔡敏 3文清华3

作者信息

  • 1. 泗县人民医院神经内科,安徽泗县 234300
  • 2. 安徽医科大学附属宿州医院神经内科,安徽宿州 234000
  • 3. 石柱土家族自治县人民医院中医科,广西重庆 409109
  • 折叠

摘要

Abstract

Objective:To explore the distribution characteristics of main TCM syndrome elements and their comorbidities in patients with insomnia.Methods:Based on the retrospective research method,the clinical data of patients with insomnia in our hospital were collected and a database was established for statistical analysis.The contents included:age,gender,course of dis-ease,history of present illness,past history,symptoms,insomnia patients syndrome and element questionnaire,Pittsburgh Sleep Index Scale.The distribution of syndrome elements and common disease characteristics of patients with insomnia were obtained.Results:A total of 524 valid cases were collected,including 233 males and 291 females.According to age:90 cases in the youth group(18-39 years old),243 cases in the middle-aged group(40-65 years old),and 201 cases in the elderly group(>65 years old);liver,kidney,stomach,gallbladder.According to the frequency from high to low,the disease syndrome elements are internal heat,phlegm syndrome,blood deficiency,qi deficiency,qi stagnation,yin deficiency,yang deficiency,damp syn-drome,and blood stasis.The combination of syndrome elements is the most common combination of three syndrome elements.In the combination of the two syndromes,the frequency of heart-fire is the highest,followed by liver-qi stagnation and stomach-heat.The top 9 shared diseases:hypertension,depression,cerebral infarction,cerebral insufficiency,diabetes,coronary heart disease,chronic gastritis,vertigo syndrome,anxiety disorder.Conclusion:The TCM syndrome types of insomnia patients are mainly composed of deficiency and excess,and the pathogenic syndromes are mainly internal heat,phlegm turbidity and blood de-ficiency;the disease location factors are mainly the heart,spleen and liver.The common diseases are mainly cardiovascular and cerebrovascular diseases,depressive disorders and metabolic diseases.

关键词

失眠/不寐/中医证素/共有疾病/特征分布

Key words

insomnia/TCMsyndromeelements/commondiseases/characteristic distribution

分类

医药卫生

引用本文复制引用

李苗苗,赵宾,仝超,蔡敏,文清华..失眠症患者的中医证素分布规律反其共病特征[J].四川中医,2023,41(10):84-88,5.

四川中医

1000-3649

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