【摘要】 目的:研究失眠中医证型的分布规律和相关影响因素。方法:拟定《失眠中医证型调查表》,通过对北京、广州、杭州、温州共4地7个中心失眠患者进行问卷调查,利用非参数检验、单因素方差分析和对应分析等多种统计方法,探讨失眠患者中医证型分布的影响因素。结果:通过对913例失眠患者调查数据分析结果表明,肝郁化火、阴虚火旺、心脾两虚和心胆气虚等4个证型均是女性多于男性,差异有统计学意义(P<0.01);实证和虚证者的年龄比较差异无统计学意义,21-40岁患者以心脾两虚型为主,41-70岁患者以阴虚火旺型为主,20岁以下和71岁以上患者分别以阴虚火旺型和痰热内扰型为主;研究生以上文化程度患者以心脾两虚型为主,本科文化程度患者以痰热内扰型为主,大专文化程度患者以阴虚火旺型为主,高中或者中专文化程度患者以心胆气虚型为主,初中及以下文化程度患者以阴虚火旺型为主;温州患者以痰热内扰型和心脾两虚型为主,杭州患者以心脾两虚型为主,广州患者以阴虚火旺型为主,北京患者以肝郁化火型为主;未婚者以心脾两虚型为主,已婚者以肝郁化火型为主。结论:失眠患者证型分布受到性别、年龄、文化程度、地域和婚姻状况等多个因素的影响。更多还原

【Abstract】 Objective: To study the distribution law of insomnia’s TCM pattern identification and relative factors.Methods: Making TCM Pattern Identification of Insomnia Table.Researchers used the Questionnaires to investigate the insomnia patients in 7 centers in Beijing,Guangzhou,Hangzhou and Wenzhou,applied frequency description,non-parametric test,ANOVA and correspondence analysis,etc.To explore the distribution law of insomnia’s TCM pattern identification and relative factors.Results: The outcome of data analysis of 913 insomnia cases showed that female patients were more than male ones in pattern of yin deficiency with effulgent fire,pattern of deficiency of both heart and spleen,pattern of liver depression transforming into fire,and pattern of heart and gallbladder qi insufficiency,and there were significant difference(P<0.01).There was no significant difference between the excess pattern and deficiency pattern on age.Pattern of deficiency of both heart and spleen appearred mostly in the patients from 21 to 40 years old;pattern of yin deficiency with effulgent fire appearred mostly in the patients from 41 to 70 years old;pattern of yin deficiency with effulgent fire and pattern of phlegm-heat harassing internally appearred mostly in the patients under 21 and above 71 years old respectively.Pattern of deficiency of both heart and spleen appearred mostly in patients with graduates degree and above educational history;pattern of phlegm-heat harassing internally appearred mostly in the patients with undergraduates degree;pattern of yin deficiency with effulgent fire appearred mostly in the patients with junior college education;pattern of heart and gallbladder qi insufficiency appearred mostly in the patients with senior high school or technical secondary school education;pattern of yin deficiency with effulgent fire appearred mostly in the patients with or under junior high school education.Pattern of phlegm-heat harassing internally and pattern of deficiency of both heart and spleen appearred mostly in patients in Wenzhou branch center;pattern of deficiency of both heart and spleen appearred mostly in patients in Hangzhou branch center;pattern of yin deficiency with effulgent fire appearred mostly in patients in Guangzhou branch center;pattern of liver depression transforming into fire appearred mostly in patients in Beijing branch center.Pattern of deficiency of both heart and spleen appearred mostly in unmarried patients;pattern of liver depression transforming into fire appearred mostly in married patients;the other patterns appearred mostly in divorced patients;pattern of phlegm-heat harassing internally appearred mostly in widow or widower patients;pattern of deficiency of both heart and spleen appearred mostly in other patients.Conclusion: The distribution of insomnia TCM pattern identification was influenced by gender,age,education degree,geographic factor and marriage conditions,etc.更多还原