失眠症患者的中医体质调查探究.pdfVIP

提 要 目的：本课题旨在探讨失眠症患者的中医体质特点，分析失眠症患者中医体质类 型的分布规律，总结中医体质和失眠症的相关理论及现代的研究成果，分析中医体质 与失眠症的相关性，为失眠症的中医体质研究及失眠症的临床防治提供新的思路。 方法：应用王琦的中医体质学9种分类法，收集失眠症患者138例做为观察组、 80 例无失眠病史者做为对照组。分析他们的一般情况（性别、文化程度等）与失眠 是否有关，用中医体质分类与判定表对失眠症患者进行体质类型辨识，分析两组人员 在体质上的不同。 结果：失眠症患者中阴虚质、湿热质、气郁质占的比例较大，而无失眠病史的正 常人体质类型多为平和质、气虚质。失眠症患者和无失眠病史的一般人的中医体质类 型经过 Logistic 回归分析后得出：阴虚质（P=0.012 ，OR=3.416 ）；湿热质（P=0.013 ， OR=3.211 ）；气郁质（P=0.009 ，OR=3.246 ），此三种体质与失眠症的发生关系密切。 结论：1.失眠症患者在中医体质类型中的分布与无失眠病史的一般人群不同，失 眠症与中医体质具有相关性。 2.阴虚质、湿热质、气郁质三种体质容易引起失眠症。 关键词 失眠症 中医体质 相关性 Insomniacs of constitution in Chinese medicine research Speciality:Chinese Internal Medicine Author:xieming Tutor:Li Chunhong Abstract Purpose ：This project aims to explore the Chinese physical characteristics of the patients with primary insomnia ，and analysis the law of TCM constitution type for patients with primary insomnia. Also, we summary the theory and modern research related TCM constitution and primary insomnia, to Provide new ideas for prevention and treatment of primary insomnia constitution of TCM research and primary insomnia. Method: we apply the 9 kinds of classification of Wang Qi’s TCM Constitutions, and we Collected 138 cases of patients with primary insomnia as the observation group, and 80 people without insomnia history as a control group. And then, we analysis if their general cases (Sex, educational level, etc.) are related with primary insomnia. We go the recognition of physical type for the people with primary insomnia through the TCM constitution classification and determine the self-test table and analyze the physical differences of two groups. Result: for the people with primary insomnia, the quality of yang, yin