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Clinical epidemiology pre-investigation on traditional Chinese medicine syndromes of insomnia in adults
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DOI   10.11656/j.issn.1673-9043.2020.02.12
Key Words   insomnia in adults;TCM syndromes;clinical pre-investigation
Author NameAffiliationE-mail
YU Zhen Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China  
MA Yan Second Affiliated Hospital of Tianjin University of TCM, Tianjin 300250, China  
ZHANG Linlin Second Affiliated Hospital of Tianjin University of TCM, Tianjin 300250, China  
ZHANG Yulian Second Affiliated Hospital of Tianjin University of TCM, Tianjin 300250, China zhyl220@126.com 
Abstract
    [Objective] To know preliminarily the general situation,sleep situation and the characteristics and laws of traditional Chinese medicine (TCM) of insomnia in adults. [Methods] To investigate the adult patients with insomnia from August 2017 to February 2018 with developed TCM syndromes clinical epidemiology investigation questionnaire of insomnia in adults and Pittsburgh sleep quality index (PSQI) and establish the database with Excel to do the statistical analysis with SPSS as well as Modeler. [Results] This pre-clinical investigation retracted 75 effective questionnaires. There were 66.67% of the patients were women. The average age was (56.20±14.19) years old,with the most people in the age group from 60 to 79. 61.33% of the patients were high school degree and above,and 44% were mental labors. 76% of the patients had medical history,involving 43 diseases. 90.67% of the surveyed patients were chronic insomnia,81.33% had difficulty falling asleep,and 92% were mixed insomnia types with (15.12±3.22) of the PSQI average score. 73.33% of the patients' etiology and pathogenesis of insomnia in TCM was emotional disorders with 37 common TCM symptoms,while 30.67% of the patients' TCM syndrome type was heart and spleen deficiency. [Conclusion] The insomnia adult patients surveyed this time mostly were women,older people and mental labor with high education degree often accompanying several internal medical diseases. With mixed types of insomnia,most patients surveyed had chronic insomnia and had difficulty falling asleep. The major etiology and pathogenesis of insomnia in TCM was emotional disorders. The common TCM symptoms were psychosomatic and decreased daytime function ones besides the main symptoms of insomnia and the major TCM syndrome type was heart and spleen deficiency.

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