摘要
背景睡眠对人们的健康至关重要。有研究显示睡眠时间与中医体质相关,但关于睡眠时间、入睡时刻对阴虚体质的影响研究较为缺乏。目的探讨睡眠时间、入睡时刻对阴虚体质的影响。方法采用横断面现场调查法,于2015年3月-2016年12月在北京市和河北省石家庄市健康体检人群中施测。采用中医体质量表中的阴虚质亚量表评价受试者阴虚体质程度,根据得分均值将调查对象分为高分组和低分组。睡眠时间和入睡时刻的信息分别由调查员询问"你平均每天睡觉时间是多少"和"你平常几点入睡"进行收集。将睡眠时间分为<6.0 h/d、6.0~6.9 h/d、7.0~7.9 h/d、8.0~8.9 h/d和≥9.0 h/d,入睡时刻分为<23:00、23:00~23:59、≥24:00。采用Logistic回归分析睡眠时间和入睡时刻对阴虚体质的影响。结果共发放问卷2 170例,回收问卷 2 170例,删除442例,共纳入1 728例,有效回收率为79.6%。1 728例患者阴虚质亚量表得分为(23.5±15.0)分,将得分≥23.5分设为高分组,得分<23.5分为低分组。其中高分组884例,低分组844例。多因素Logistic回归分析结果显示,以睡眠时间7.0~7.9 h/d为参照,睡眠时间<6.0 h/d〔OR=1.926,95%CI(1.014,3.658)〕、6.0~6.9 h/d〔OR=1.503,95%CI(1.115,2.027)〕、≥9.0 h/d〔OR=1.975,95%CI(1.087,3.589)〕是阴虚体质的危险因素(P<0.05);以入睡时刻≥24:00为参照,入睡时刻为<23:00〔OR=0.576,95%CI(0.413,0.803)〕和23:00~23:59〔OR=0.579,95%CI(0.438,0.765)〕是阴虚体质的保护因素(P<0.05)。结论睡眠时间不足或过长,以及凌晨以后入睡均增加阴虚体质风险。
Background Sleep is vital to people’s health.Studies have shown that sleep time is related to traditional Chinese medicine(TCM) constitution.However,there is a lack of research on the influence of sleep time and time of falling asleep on Yin-deficiency constitution.Objective To explore the effects of sleep time and the time of falling asleep on Yin-deficiency constitution.Methods The cross-sectional survey method was adopted in people who took health examination in Beijing and Shijiazhuang,Hebei Province from March 2015 to December 2016.The Yin-deficiency subscale of TCM constitution scale was used to evaluate the degree of Yin-deficiency constitution,and the subjects were divided into high score group and low score group according to the mean score.The information on sleep time and time of falling asleep is collected by the investigator asking"How much do you sleep on average per day"and"When do you usually fall asleep".The sleep time was divided into <6.0 h/d,6.0-6.9 h/d,7.0-7.9 h/d,8.0-8.9 h/d and ≥9.0 h/d.The time of falling asleep was divided into <23:00,23:00-23:59,≥24:00.Logistic regression analysis was used to explore the influence of sleep time and time of falling asleep on Yin-deficiency constitution.Results A total of 2 170 questionnaires were distributed,2 170 questionnaires recovered,442 deleted,and 1 728 were included,with an effective recovery rate of 79.6%.The score of the Yin-deficiency subscale of 1 728 patients were(23.5±15.0),the score ≥23.5 was set as high,and the score <23.5 was classified as low.Among them,884 were in high score group and 844 were in low score group.Multivariate Logistic regression analysis showed that sleep time 7.0-7.9 h/d was taken as the reference group,sleep time <6.0 h/d〔OR=1.926,95%CI(1.014,3.658)〕,6.0-6.9 h/d〔OR=1.503,95%CI(1.115,2.027)〕,≥9.0 h/d〔OR=1.975,95%CI(1.087,3.589)〕were risk factors for Yin-deficiency(P<0.05).The time to falling asleep≥24:00 was taken as the reference group,<23:00〔OR=0.576,95%CI(0.413,0.803)〕and 23:00-23:59〔OR=0.579,95%CI(0.438,0.765)〕were protective factors of Yin-deficiency(P<0.05).Conclusion Insufficient or too much sleep time,and falling asleep after early morning(24:00)will increase Yin-deficiency.
作者
谢宜沙
朱燕波
徐佳
孟令杰
贾丽燕
吕晓颖
XIE Yisha;ZHU Yanbo;XUJia;MENG Lingjie;JIA Liyan;LYU Xiaoying(School of Management,Beijing University of Chinese Medicine,Beijing 100029,China;Third Affiliated Hospital,Beijing University of Chinese Medicine,Beijing 100029,China;School of Traditional Chinese Medicine,Beijing University of Chinese Medicine,Beijing 100029,China)
出处
《中国全科医学》
CAS
北大核心
2020年第2期209-214,共6页
Chinese General Practice
基金
科技部基础性工作专项(2013FY114400-5)
关键词
体质
阴虚
睡眠时间
入睡时刻
Body constitution
Yin deficiency
Sleep time
The time of falling asleep
