發(fā)布時(shí)間：2018-04-05 16:08

  本文選題：原發(fā)性失眠　切入點(diǎn)：失眠　出處：《南京中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:原發(fā)性失眠是最常見的睡眠障礙,目前專門針對原發(fā)性失眠進(jìn)行證素調(diào)查的較少,本研究通過對原發(fā)性失眠患者的癥狀進(jìn)行調(diào)查,探討原發(fā)性失眠主要的病性、病位證素及其分布組合規(guī)律。方法:對在我院腦病中心收集100例原發(fā)性失眠患者進(jìn)行流行病學(xué)調(diào)查,建立Excel表,運(yùn)用探索性因子分析的方法對所收集患者的癥狀、舌脈等信息進(jìn)行分析,得出原發(fā)性失眠的證候要素及證素組合規(guī)律,運(yùn)用卡方檢驗(yàn)探討各病性證素與性別、年齡、病程的相關(guān)性。結(jié)果:100例原發(fā)性失眠患者的平均年齡為(45.66±15.16)歲,18-45歲占51%,45-60占31%,60-79歲占18%。男性占28%,女性患者占72%,男女比例為1:2.57。病程最短的1月,最長37年,平均病程為(62.98±71.10)月。根據(jù)因子分析得出的病性證素是:心、肝、膽、脾、胃、腎;病性證素是:火熱、氣滯、氣虛、痰濁、氣滯、陰虛、血虛。原發(fā)性失眠患者病性證素分布、組合規(guī)律:(1)100例患者的病性證素按頻數(shù)由高到低排列依次是:火熱氣虛氣滯痰濁血虛陰虛。(2)原發(fā)性失眠證素組合規(guī)律:最為常見的是兩證素組合,占59%;其次為三證組合、單一證素,分別占26%、15%,未見四證素以上組合。單一證素分別是氣虛和火熱(10%);兩證素組合有8種證型,主要有肝郁化火證、痰熱擾心證、心脾兩虛證和陰虛火旺證("g10%)。三證素組合有3種證型,主要為痰熱內(nèi)擾,心肝不寧證(10%)。(3)原發(fā)性失眠病性證素與性別、年齡的相關(guān)性:無論性別、年齡,火熱最為常見;男性多見痰濁(P0.01),女性多見氣虛(P0.05)。在年齡方面,各病性證素與各年齡組比較P0.05,無明顯統(tǒng)計(jì)學(xué)意義。(4)原發(fā)性失眠與病程的相關(guān)性:亞急性失眠組19例,氣虛證素最多(57.8%),慢性失眠組81例,火熱證素最多(64.2%)。結(jié)論:(1)原發(fā)性失眠涉及的主要病位證素是:心、肝、膽、脾、胃、腎;主要病性證素是:火熱、氣滯、氣虛、痰濁、血虛、陰虛。(2)無論年齡、性別,火熱是原發(fā)性失眠的主要病性證素。(3)原發(fā)性失眠的病性證素存在性別差異,男性以痰濁為多,女性氣虛為多。(4)原發(fā)性失眠的證素存在多種組合形式,其中以兩證組合最為多見。(5)原發(fā)性失眠在發(fā)病年齡方面,以青年居多,各年齡組病性證素均以火熱為多。(6)原發(fā)性失眠病性證素與病程有關(guān),亞急性失眠組以氣虛為多,慢性失眠組火熱多見。
[Abstract]:Objective: primary insomnia is the most common sleep disorder. At present, there are few investigation on syndrome factors for primary insomnia. This study investigated the symptoms of patients with primary insomnia, and discussed the main disease of primary insomnia.Syndrome factors and their distribution and combination law.Methods: an epidemiological survey of 100 patients with primary insomnia was carried out in the brain center of our hospital. Excel tables were established and the symptoms, tongue veins and other information of the patients were analyzed by exploratory factor analysis.The syndromes and syndromes combination rules of primary insomnia were obtained, and the correlation between syndromes and sex, age and course of disease was discussed by chi-square test.Results the average age of 100 patients with primary insomnia was 45.66 鹵15.16 years old.Men accounted for 28 and women for 72, with a ratio of 1: 2. 57.The shortest one month, the longest 37 years, the average course of disease is 62.98 鹵71.10 months.According to factor analysis, the factors of disease syndrome are heart, liver, gallbladder, spleen, stomach and kidney, and the factors of disease syndrome are fire and heat, qi stagnation, qi deficiency, phlegm turbidity, qi stagnation, yin deficiency and blood deficiency.The distribution of syndrome factors in patients with primary insomnia, the combination rule of the disease syndrome factors of 100 patients with primary insomnia were in order of frequency from high to low: heat, deficiency of qi, stagnation of qi, stagnation of phlegm, blood deficiency, yin deficiency and yin deficiency.) the rule of combination of factors of primary insomnia syndrome: the most common was the combination of two syndromes, and the most common was the combination of two syndromes.The second is the combination of three syndromes and the single syndromes, accounting for 2615 points respectively, no more than four syndromes.There are 8 syndromes in the combination of the two syndromes: liver depression, phlegm and heat disturbing the heart, heart and spleen deficiency and yin deficiency and fire.The combination of three syndromes has three syndromes, mainly phlegm heat and internal disturbance, and heart and liver restlessness syndrome (10 / 10) and sex, age correlation: regardless of sex, age, fire heat is the most common; phlegm turbid phlegm is more common in male than phlegm in P0.01, and female in Qi deficiency P0.05.Conclusion the main syndromes related to primary insomnia are heart, liver, gallbladder, spleen, stomach and kidney, and the main syndromes are heat, qi stagnation, deficiency of qi, phlegm turbidity, blood deficiency, yin deficiency, etc.)Fire fever is the main symptom factor of primary insomnia. (3) there are sex differences in the factors of disease syndrome of primary insomnia. In men, phlegm turbidity is more, and in women qi deficiency is more. 4) there are many combinations of syndromes of primary insomnia.Among them, the combination of two syndromes is the most common. (5) the age of onset of primary insomnia is more than that of young people, and the most of all age groups is fire fever. 6) the factors of primary insomnia syndrome are related to the course of disease, and the subacute insomnia group is mainly caused by deficiency of qi.Fire fever was more common in chronic insomnia group.
【學(xué)位授予單位】：南京中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R256.23

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 謝永標(biāo),徐莉萍,劉破資,于瑞麗;原發(fā)性失眠患者的心理特征[J];中國行為醫(yī)學(xué)科學(xué);2005年05期

2 徐莉萍;謝永標(biāo);劉破資;岳偉華;;原發(fā)性失眠患者血漿5-羥色胺和去甲腎上腺素與心理狀況的相關(guān)分析[J];中國行為醫(yī)學(xué)科學(xué);2006年03期

3 毛洪祥;;慢性原發(fā)性失眠與人格及心理因素的關(guān)系[J];中國健康心理學(xué)雜志;2008年07期

4 林勇;朱婉兒;唐建良;李婷;;慢性原發(fā)性失眠患者人格特征與家庭環(huán)境的研究[J];中國農(nóng)村衛(wèi)生事業(yè)管理;2010年09期

5 楊勁;黃莉莉;李巧蘭;雷飛;唐向東;;原發(fā)性失眠患者的睡眠知覺分析[J];中國醫(yī)藥導(dǎo)報(bào);2011年11期

6 王s，

本文編號：1715493