思虑过度状态失眠症患者中医体质及个性与睡眠紊乱的相关性研究Study on the relationship between physical constitution, personality and sleep disorder in patients with excessive insomnia.pdfVIP

提 要 目的：通过对思虑过度状态失眠症患者与正常人中医体质及个性的相关性研究， 揭示思虑过度状态失眠症患者的中医体质和性格特点；并通过对多导睡眠监测睡眠参 数的定量分析，对思虑过度状态失眠症患者的客观睡眠情况进行评估，为失眠症的防 治提供依据，降低发病率，提高患者生活质量。方法：采用中医思虑过度状态评定量 表、中医体质分类与判定自测表及五态性格测验表（成人）分别对320例思虑过度状 态失眠症（观察组）患者和 320 例正常人（对照组）进行临床测试，并随机对 43 例 思虑过度状态失眠症患者进行多导睡眠监测，建立数据库，用 SPSS 软件对数据进行 处理，了解思虑过度状态失眠症患者的客观睡眠情况。结果：本研究 43 例思虑过度 状态失眠症患者 PSG 统计结果表明，思虑过度状态失眠症患者存在睡眠周期及睡眠 结构改变，睡眠效率降低，睡眠潜伏期延长，夜间觉醒次数增多，深睡眠减少。《中 医思虑过度状态评定量表》对照组总分 63.62 ±11.452，观察组总分为 126.95±26.023 ， P=0.000 ，二者有显著性差异。观察组与对照组中医体质分型回归分析，P0.05 ，思 虑过度状态失眠症患者多为阳虚质、阴虚质、气虚质、痰湿质、湿热质、气郁质，其 中以气郁质最多见；其五态性格与对照组也有统计学差异，P0.05 ，其中以太阳性格 和太阴性格较多见。 关键词 失眠症；思虑过度状态；体质；个性；睡眠结构紊乱 Study on Constitution and Personality of Insomnia with the State of Silv Anxiety and Sleep Disorder Speciality:Neurology of TCM Author:Zhang Jing Tutor:Prof.Qi Xianghua Abstract Objective: Through studies on Constitution and Personality of insomnia Patients with the State of Silv Anxiety and normal people respectively, the paper aims at revealing insomnia patients’ physical and personality traits; And through quantitative analysis on polysomnography parameters to evaluate of objective sleep situation of patients with Insomnia with the State of Silv Anxiety, the paper tries to provide the basis for the prevention and treatment of insomnia, reduce morbidity, and improve patients’ quality of life.Methods:by using Chinese Medical Scale Table for Insomnia with the State Of Silv-Anxiety, Chinese Medical Physical classification and determination self-test table, and the five-kind personality inventory table (for adults), this paper does clinical trials over 320 cases of patients with state of insomnia (study group) and 320 common people (con