女性围绝经期失症患病特征与体质类型分布及影响因素相关性研究.pdfVIP

Correlation study on the characteristics of female perimenopause insomnia patients, their constitution types and related risk factors Speciality：Gynecology of TCM Author ：Chen Chen Tutor: Pro.Liu Jingjun Abstract Objective: With a clinic investigation on female perimenopause insomnia patients, this study aims to discuss the characteristics of patients, their relationships with patients’ constitution types, predisposed constitutions and the risk factors, further propose effective preventions and treatments on the disease . Methods: 150 female perimenopause insomnia patients and 150 female perimenopause healthy subjects were investigated with TCM constitution scale, PSQI and self-designed questionnaire based on the clinic epidemiology method. Results: Case group differs from control group on constitution composition. In control group, yin deficiency types and even types are most frequent, while in case group, 52 cases(34.7%) are in qi stagnancy type, 38 cases(25.3%) in yin deficiency type and 25 cases(16.7%) in qi deficiency type. It can be judged from the results combined with TCM theory that the types of qi stagnancy, yin deficiency, and qi deficiency are predisposed constitutions. Estrogen levels differ significantly between case group and control group. There are differences in PSQI total scores among different constitution types as well as in the factor scores. Patients in qi stagnancy type need longer time to fall asleep. Qi deficiency subjects score highest in day-time function disorder, whilst yin deficiency patients score most in sleep disorder. Exercise habits, daily schedule, family relationships and personality are found related to the disease occurrence. Conclusion: Female perimenopause i