探讨慢性肝胆病伴失眠多梦的临床特征及中医证型的分布

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• 英文论文题名：To Investigate the Clinical features and distribution of TCM syndrome of Chronic liver and gallbladder diseases with insomnia and dreaminess
• 论文作者：张压西 ; 石松 ; 王奕
• 英文论文作者：ZHANG Ya-xi ; SHI Song ; WANG Yi ; Digestion Internal Department ; TCM Hospital of Wuhan City ; HuBei University of Traditional Chinese Medicine
• 年：2012
• 作者机构：武汉市中医医院消化内科;湖北中医药大学;
• 论文关键词：肝藏血 ; 血舍魂 ; 失眠 ; 多梦 ; 中医证型
• 会议召开时间：2012-09-29
• 会议录名称：第二届海峡两岸中医心理学睡眠医学论坛论文汇编
• 英文会议录名称：Proceedings of the 2nd Cross-Straits TCM Psychology & Sleep Medicine Forum
• 语种：中文
• 分类号：R256.23;R259
• 学会代码：YXSM
• 会议名称：第二届海峡两岸中医心理学睡眠医学论坛
• 会议地点：中国台湾台北
• 主办单位：世界中医药学会联合会中医心理学专业委员会、世界中医药学会联合会睡眠医学专业委员会
• 学会名称：世界中医药学会联合会睡眠医学专业委员会
• 页数：10
• 文件大小：656k
• 原文格式：D
• 会议级别：全国

摘要

目的观察慢性肝胆病失眠多梦的临床特征,分析多梦的发生频率和中医证型分布情况,试图发现慢性肝胆病失眠与多梦的相关性,从中医经典理论"肝藏血,血舍魂"引发出对梦诊的进一步思考。方法采用睡眠基本情况调查表、PSQI、SRSS、SAS和SDS量表问卷方式,归纳慢性肝胆病失眠多梦患者临床特征,借助统计软件对数据分析总结,并探讨其机理。结果慢性肝胆病合并失眠的患者中出现多梦占53.9%(125/232)、出现恶梦占9.6%(12/125);从性别分布来看,慢性肝胆病失眠中多梦的男性占46.4%(58/125)、女性占53.6%(67/125);从中医证型的分布来看,多梦的患者中,男性多发于肝郁气滞型31.03%(18/58)和肝郁血瘀证型22.41%(13/58),女性多发于心胆不宁型29.85%(20/67)、肝血亏虚型16.41%(11/67)和肝郁气滞证型16.41%(11/67);慢性肝胆病单纯失眠与失眠多梦者在PSQI和SRSS评分比较方面没有显著性差异;在SAS评分比较,男性高于同组女性,P<0.05;SDS评分比较,女性高于同组男性,P<0.05;SDS评分比较,失眠多梦组女性高于单纯失眠组女性,P<0.05。结论失眠多梦是慢性肝胆病常见伴随症状之一,中医证型蕴涵了不同性别患者特定的失眠特征。
[Objective] To explore the correlation of chronic liver and gallbladder diseases and insomnia and dreaminess by observing the clinical features of chronic liver and gallbladder diseases with insomnia and dreaminess,analysing the frequency of dreaminess and distribution of TCM syndrome. To reflect further on dream diagnosis based on the classical theory of traditional Chinese medicine "liver storing blood,blood storing soul".[Methods] To summarize the clinical features of patients with chronic liver and gallbladder diseases with insomnia and dreaminess by sleep basic questionnaire, PSQI、SRSS、SAS and SDS scale questionnaire, to analyze and summarize the data by using statistical software, and and explore its mechanism. [Results] In total chronic liver and gallbladder diseases patients with insomnia and dreaminess, the dreaminess accounted for 53.9%(125/232), the emergence of a nightmare accounted for 9.6%(12/125).On the gender distribution of chronic liver and gallbladder diseases and insomnia and dreaminess, males accounts for46.4%(58/125), female accounts for 53.6%(67/125).On the distribution of TCM syndrome,in the total dreaminess patients, male trends to liver-Qi stagnation type 31.03%(18/58)and stagnation of blood stasis 22.41%(13/58), female trends to the heart and gallbladder restless type 29.85%(20/67), the deficiency of hepatic blood type 16.41%(11/67) and liver-Qi stagnation type 16.41%(11/67).There is no significant difference between chronic liver and gallbladder diseases patients with insomnia and with both insomnia and dreaminess. In comparison of SAS score, male is higher than the same group of female(P <0.05). In comparison of SDS score,fe male is higher than the same group of male(P <0.05),and female in the group of both insomnia and dreaminess is more than only insomnia(P<0.05). [Conclusion] The insomnia and deaminess is a common associatedsymptoms of chronic liver and gallbladder diseases, TCM syndrome implies insomnia characteristics of patients with different gender-specific.

引文

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