女性围绝经期失眠症患病特征与体质类型分布和影响因素相关性研究.pdfVIP

提 要 目的：通过对女性围绝经期失眠症患者的临床调研，探讨女性围绝经期失眠症患 病特征及其与体质类型之间的关系，易感体质与发病相关因素。根据调查结果，探讨 女性围绝经期失眠症的有效防治措施。 方法：遵循临床流行病学调研方法，选用中医体质调查表、匹兹堡睡眠质量指数 量表、设计统一的调查问卷对 150 例女性围绝经期失眠症患者及 150 例围绝经期健康 女性进行问卷调查。 结果：病例组与对照组体质分布构成不同。对照组中：平和质、阴虚质为围绝经 期健康女性常见的体质类型。病例组中：气郁体质52例 （占34.7%）、阴虚质38例(占 25.3%)、气虚质25例（占16.7%），根据观察结果结合中医理论及临床知识判断气郁 质和阴虚质、气虚质为易感体质。病例组与对照组间的雌激素水平有区别，差异有统 计学意义。不同体质间PSQI总分存在差异，PSQI各因子评分存在差异，气郁质、气 虚质患者失眠情况最严重，其次为阴虚质患者，气郁质患者较其它体质类型比较入睡 时间最长，气虚质日间功能障碍评分最高，阴虚质睡眠障碍得分最高。运动习惯、既 往作息时间、家庭关系、性格特征与发病有一定的相关性。 结论：女性围绝经期失眠症患者具有特定的易感体质类型，以气郁质、阴虚质、 气虚质居多。雌激素水平的高低对围绝经期女性睡眠情况好坏有影响。围绝经期失眠 症的发病与运动习惯、既往作息习惯、家庭关系、性格特征有一定的相关性。体质理 论为临床确立相应的预防、治疗、康复方法、用药原则提供依据。 关键词 女性围绝经期失眠症；体质类型；影响因素；防治 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 th