基于因子分析与聚类分析的颈源性失眠的证候要素提取及证型研究.docxVIP

基于因子分析与聚类分析的颈源性失眠的证候要素提取及证型研究  摘要： 目的：探究颈源性失眠的证候特点及其证型，为颈源性失眠的辨证论治提供依据。 方法：收集100例颈源性失眠患者的临床资料，通过因子分析、聚类分析和贡献率分析等方法，提取颈源性失眠证候要素，并探究其证型分布与特点。 结果：因子分析提取出4个因子，分别为心理因素、颈部疼痛、生理因素和饮食习惯；聚类分析将100例颈源性失眠患者分成3类，分别为心理型、颈痛型和综合型；贡献率分析结果显示，生理因素和颈部疼痛是颈源性失眠的主要证候要素。 结论：颈源性失眠的证候特点多样，但以生理因素和颈部疼痛为主要表现。颈源性失眠的证型分布以心理型、颈痛型和综合型为主，辨证论治应针对不同证型采取个体化的治疗方案。 关键词：颈源性失眠；因子分析；聚类分析；证型分布 Abstract: Objective: To explore the syndrome characteristics and syndrome differentiation of cervical insomnia, and provide basis for the treatment of cervical insomnia. Methods: The clinical data of 100 patients with cervical insomnia were collected, and the syndrome elements of cervical insomnia were extracted by factor analysis, cluster analysis and contribution rate analysis.The distribution and characteristics of syndrome differentiation were also explored. Results: Four factors were extracted by factor analysis, including psychological factors, neck pain factors, physiological factors and dietary habits. Cluster analysis divided 100 patients with cervical insomnia into three categories: psychological type, neck pain type and comprehensive type. The contribution rate analysis showed that physiological factors and neck pain were the main syndrome elements of cervical insomnia. Conclusion: The syndrome characteristics of cervical insomnia are diverse, but the main manifestations are physiological factors and neck pain. The distribution of syndrome differentiation of cervical insomnia is mainly psychological type, neck pain type and comprehensive type. Individualized treatment should be adopted according to different syndrome differentiation. Key words: cervical insomnia; factor analysis; cluster analysis; syndrome type distribution 正文： 一、前言 随着生活水平和工作节奏的不断提高加快，颈椎疾病的发病率也逐年增高，其中颈源性失眠作为一种颈椎病的亚型，受到越来越多人们的关注。颈源性失眠是由颈椎疾病引起的一种睡眠障碍症状，临床表现为入睡困难、易醒、多梦等。颈源性失眠的治疗应在针对其病因治疗的基础上，进行辨证论治。因此，本文旨在探究颈源性失眠的证候特点及其证型，为颈源性失眠的辨证论治提供依据。 二、材料与方法 2.1 研究对象 本研究收集了100例颈源性失眠患者的临床资料，其中男性58例，女性42例，年龄范围为25~60岁。 2.2 研究方法 2.2.1 因子分析