摘要
目的:观察中医不寐证型与体质的相关性。方法:对62例失眠症患者进行临床研究调查,采用中医临床调查表及中医体质调查表,对调查结果进行总结并用SPSS13.0统计软件进行统计处理。结果:62例中,肝火扰心证16例(25.8%)、痰热扰心证3例(4.8%)、心脾两虚证17例(27.4%)、心肾不交证15例(24.1%)、心胆气虚证11例(17.7%)。中医体质分布平和质2例(3.2%)、气虚质13例(20.9%)、阳虚质9例(14.5%)、阴虚质11例(17.7%)、痰湿质5例(8.1%)、湿热质6例(9.6%)、瘀血质2例(3.2%)、气郁质14例(22.5%)。失眠中医证型与体质的相关性分析经x2检验,心胆气虚证、心脾两虚与气虚证比较相关性明显(p=0.04);心肾不交与阴虚质相关性明显(p=0.03);心脾两虚与阳虚质相关性明显(p=0.029);肝火扰心者与气郁质比较相关性明显(p=0.037);痰热扰心者与痰湿体质、湿热体质相关性明显(p=0.009)。结论:通过对的中医证型与体质相关性研究,提示某些体质易于转化为何种证型,并影响着失眠症的转归。从中医体质角度为失眠的中医辨证论治和预防治疗提供新思路。
Objective ： To investigate the relationship in traditional Chinese medicine. Methods： 62 cases with between syndrome type of insomnia and body constitution insomnia had been done with the clinical investigation of the TCM Clinical Questionnaire and TCM Constitution Questionnaire survey, and summarized the survey results with SPSS13.0 statistical software for statistical processing. Results： Among the 62 cases 16 cases belonged to syn- drome of liver-fire harassing heart （25.8%） ,3 ones to syndrome of phlegm-heat harassing heart （4. 8% ）, 17 ones to syndrome of spleen and heart deficiency （ 27.4% ）, 15 ones to syndrome of heart and kidney disharmony （24. 1% ） ,and 11 ones to syndrome of deficiency of heart and gallbladder qi （17.7%）. The distribution of body was normal constitution in 2 cases （3.2%）, qi deficiency in 13 ones （20. 9% ）, yang deficiency in 9 ones （ 14. 5% ） ,yin deficiency 11 ones （ 17.7% ）, phlegm-dampness in 5 ones （8.1%）, phlegm - heat in 6 ones （9.6%） ,blood stasis in 2 ones （3.2%） ,and qi-stagnation in 14 ones （22. 5% ）. By X2 test the correlation be- tween TCM syndrome type of insomnia and body constitution was that syndrome of deficiency of heart and gallblad- der qi and syndrome of spleen and heart deficiency had obvious correlation to qi deficiency constitution （ p = 0.04）, syndrome of heart and kidney disharmony to yin deficiency constitution （ p = 0. 03 ）, syndrome of spleen and heart deficiency to yang deficiency constitution （ p = 0. 029 ）, syndrome of liver-fire harassing heart to qi - stagnation constitution （ p = 0. 037）, and syndrome of phlegm-heat harassing heart to phlegm-dampness constitution and damp - heat constitution （ p = 0. 009）. Conclusion ： The study on the correlation of syndrome type of insomnia and body constitution suggests that some body constitution is easy to be transformed into some syndrome type, which effects the insomnia development, and provides new ideas for prevention and treatment of insomnia in the view of TCM Body Constitution.
出处
《山西中医》
2013年第7期45-46,49,共3页
Shanxi Journal of Traditional Chinese Medicine
关键词
失眠
证型
体质
相关性
临床研究
insomnia, type of syndrome, body constitution, correlation, clinical research
