本文關(guān)鍵詞：圍絕經(jīng)期失眠中醫(yī)證型分布與證型間睡眠狀況差異的初步研究　出處：《成都中醫(yī)藥大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

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【摘要】：目的：探索圍絕經(jīng)期失眠患者中醫(yī)證型的分布規(guī)律,初步探討圍絕經(jīng)期失眠患者不同中醫(yī)證型之間睡眠狀況(包括失眠中醫(yī)主癥、PSQI各個(gè)測評(píng)因子)的差異,及與睡眠有關(guān)的焦慮、抑郁情緒評(píng)分的差異。以提出較為客觀、相對(duì)規(guī)范的圍絕經(jīng)期失眠中醫(yī)證侯分型,為進(jìn)一步開展大樣本、多中心的圍絕經(jīng)期失眠的中醫(yī)藥系統(tǒng)研究打下基礎(chǔ)。方法：通過臨床觀察及文獻(xiàn)調(diào)查,參照導(dǎo)師經(jīng)驗(yàn)及專家意見設(shè)計(jì)圍絕經(jīng)期失眠問卷調(diào)查表,2015年03月至2016年3月共收集符合納入標(biāo)準(zhǔn)的205份病例,在EpiData 3.1數(shù)據(jù)控制功能下進(jìn)行數(shù)據(jù)錄入、核對(duì),借助SPSS 21.0統(tǒng)計(jì)軟件包,對(duì)數(shù)據(jù)進(jìn)行統(tǒng)計(jì)分析：聚類分析、頻數(shù)分析、確切概率法等,最后得出結(jié)論。結(jié)果：1.本次研究共納入205例圍絕經(jīng)期失眠的患者,證型分布最常見為肝郁氣滯證,其次依次為肝腎陰虛證、心脾兩虛證及心膽氣虛證。圍絕經(jīng)期失眠患者的癥狀頻次排列,由多到少依次可見：入睡困難,苔白,多夢,舌淡,大便干,時(shí)睡時(shí)醒,月經(jīng)提前,情緒焦慮抑郁,脈細(xì)弦,月經(jīng)量多,心悸健忘,耳鳴等：2.經(jīng)過確切概率法比較,不同證型之間失眠狀況存在差異,肝郁氣滯證以入睡困難為主,心膽氣虛以時(shí)睡時(shí)醒、惡夢驚醒、多夢、早醒為主,心脾兩虛以晨起思睡,晨起乏力為主3.經(jīng)統(tǒng)計(jì)學(xué)處理.4個(gè)證型在PSQI總得分及7個(gè)因子得分上均有差異。4.在焦慮SAS量表上肝郁氣滯證、肝腎陰虛證得分最高,在SDS抑郁得分上肝郁氣滯證與心膽氣虛證得分偏高。結(jié)論：圍絕經(jīng)期失眠患者證型分布以肝郁氣滯最多見,其次依次為肝腎陰虛、心脾兩虛、心膽氣虛,不同證型之間的睡眠狀況(包括睡眠障礙的主癥及PSQI測評(píng)因子)、焦慮SAS及抑郁SDS量表評(píng)分均有差異。
[Abstract]:Objective: to explore the distribution of TCM syndromes in patients with insomnia in peri-menopausal period and to explore the sleep status among different TCM syndromes (including main symptoms of insomnia) in patients with insomnia in peri-menopausal period. In order to put forward a more objective and relatively standard TCM classification of insomnia during menopause, the differences of the scores of anxiety and depression related to sleep were also found. In order to further develop the large sample, multi-center peri-menopausal insomnia of traditional Chinese medicine system research lay a foundation. Methods: through clinical observation and literature survey. According to the experience of mentors and expert opinions, we designed the questionnaire of insomnia in menopausal period. From March 2015 to March 2016, we collected 205 cases that met the inclusion criteria. Data input and check were carried out under the function of EpiData 3.1 data control. With the help of SPSS 21.0 statistical software package, the data were statistically analyzed: cluster analysis, frequency analysis. Results 1. This study included 205 patients with peri-menopausal insomnia. The most common type of syndrome distribution was liver stagnation of qi, followed by liver and kidney yin deficiency syndrome. Syndrome of deficiency of heart and spleen and deficiency of heart and gallbladder qi. The frequency of symptoms of patients with insomnia in peri-menopausal period can be seen from more to less: difficulty in falling asleep, white moss, more dreams, light tongue, dry stool, waking up when sleeping and menstruation ahead of time. Emotional anxiety depression pulse fine string menstrual volume more palpitations amnesia tinnitus and so on 2. Through the exact probability method comparison between different types of insomnia there are differences liver stagnation of qi mainly difficult to fall asleep. Heart, gallbladder Qi deficiency to sleep when awake, nightmares wake up, more dreams, wake up early, heart and spleen deficiency in the morning to think of sleep. The four syndromes were different in the total score of PSQI and the scores of seven factors. 4. On the anxiety SAS scale, the syndrome of stagnation of liver and qi was the highest, and the syndrome of deficiency of liver and kidney yin was the highest. On the score of SDS depression, the scores of liver depression qi stagnation syndrome and heart and gallbladder qi deficiency syndrome were higher. Conclusion: liver depression qi stagnation is the most common type in peri-menopausal insomnia patients, followed by liver and kidney yin deficiency, heart and spleen deficiency, heart and gallbladder qi deficiency. There were significant differences in sleep status among different syndromes (including the main symptoms of sleep disorder and PSQI evaluation factors, anxiety SAS and depression SDS scale).
【學(xué)位授予單位】：成都中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R256.23

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 楊蕓;;圍絕經(jīng)期失眠病人的心理狀態(tài)及影響因素分析[J];中國健康教育;2015年08期

2 吳斐;;酸棗仁湯合左歸丸治療婦女更年期失眠45例[J];河南中醫(yī);2015年06期

3 孫艷;;滋水清肝飲治療圍絕經(jīng)期失眠的臨床觀察[J];遼寧中醫(yī)雜志;2013年12期

4 楊文佳;于心同;謝晨;劉臻;何天峰;邴興紅;陳云飛;;穴位敷貼治療圍絕經(jīng)期失眠的臨床觀察[J];上海中醫(yī)藥大學(xué)學(xué)報(bào);2013年02期

5 陳志斌;葉慶紅;唐鍇;黃碧艷;;右佐匹克隆片治療更年期失眠療效分析[J];中國健康心理學(xué)雜志;2012年11期

6 王宇澄;LISA YUAn;趙鐸;王大力;李健;;針推調(diào)和陰陽法治療歐州婦女更年期失眠35例[J];陜西中醫(yī);2012年06期

7 張偉華;劉巧蓮;張振賢;黃韜;蔡之幸;;基于運(yùn)氣學(xué)說辨治肝腎虧虛型更年期失眠癥的隨機(jī)對(duì)照研究[J];上海中醫(yī)藥雜志;2012年03期

8 王華靜;宋麗紅;高春妮;;利維愛激素替代療法治療絕經(jīng)期失眠的效果[J];齊魯醫(yī)學(xué)雜志;2011年06期

9 Alain Baumelou;王小云;聶廣寧;;Perspectives in Clinical Research of Acupuncture on Menopausal Symptoms[J];Chinese Journal of Integrative Medicine;2011年12期

10 余猛科;;針灸治療女性更年期失眠的臨床研究[J];中國當(dāng)代醫(yī)藥;2011年27期

相關(guān)會(huì)議論文 前1條

1 翁曉澤;舒丹;;睡眠質(zhì)量與甲狀腺激素的相關(guān)性研究[A];2008年浙江省心身醫(yī)學(xué)學(xué)術(shù)年會(huì)暨災(zāi)后心理救援專題研討會(huì)論文匯編[C];2008年

相關(guān)博士學(xué)位論文 前2條

1 范穎;針刺結(jié)合皮內(nèi)針治療圍絕經(jīng)期失眠的文獻(xiàn)及臨床研究[D];廣州中醫(yī)藥大學(xué);2015年

2 夏蘭;失眠障礙患者認(rèn)知功能與客觀睡眠、神經(jīng)內(nèi)分泌、細(xì)胞因子狀態(tài)的臨床研究[D];安徽醫(yī)科大學(xué);2014年

相關(guān)碩士學(xué)位論文 前7條

1 沈銀河;失眠癥肝郁類證中醫(yī)證型分布及其臨床特點(diǎn)研究[D];福建中醫(yī)藥大學(xué);2015年

2 張亞男;失眠與焦慮情緒、中醫(yī)體質(zhì)及證型的臨床研究[D];北京中醫(yī)藥大學(xué);2015年

3 顏婽修;加味烏梅丸治療圍絕經(jīng)期失眠的臨床研究[D];北京中醫(yī)藥大學(xué);2014年

4 姜雅;焦慮相關(guān)性失眠的臨床特點(diǎn)及其與中醫(yī)證候相關(guān)性的臨床研究[D];北京中醫(yī)藥大學(xué);2010年

5 張起華;從心膽氣虛論治失眠的研究[D];南京中醫(yī)藥大學(xué);2010年

6 吳飛;更年期婦女睡眠質(zhì)量與血清雌二醇、5-羥色胺、催乳激素的相關(guān)性研究[D];吉林大學(xué);2006年

7 林浩;原發(fā)性失眠癥中醫(yī)證型分布情況及證型間睡眠狀況差異的初步研究[D];廣州中醫(yī)藥大學(xué);2005年

，

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