不同中医体质女学生睡眠质量与月经节律的相关性分析

Correlation Analysis of Sleep Quality and Menstrual Rhythm of Female Students of Different TCM Constitutions

目的分析不同中医体质类型睡眠质量与月经周期的相关性。方法采用横断面调查法,选取2018年12月~2019年1月云南新兴职业学院高职一、二年级,五年制三、四年级共2027例在校女大学生进行问卷调查,采用匹兹堡睡眠质量指数量表(PSQI)、清晨型-夜晚型量表(MEQ)和中医体质量表对在校女大学生的中医体质类型、睡眠质量、睡眠类型、月经周期进行调查。结果不同年级女学生阳虚质、阴虚质、痰湿质得分比较,差异有统计学意义(P<0.05);不同年级女学生平和质、气虚质、湿热质、血瘀质、气郁质、特禀质得分比较,差异无统计学意义(P>0.05)。中度夜晚型和夜晚型共517例(25.51%),中度清晨型和清晨型共198例(9.77%),不同中医体质组睡眠类型比较,差异无统计学意义(P>0.05)。PSQI≤3分175例(8.63%),PSQI 3~7分1483例(73.16%),PSQI≥7分369例(18.20%),其中PSQI≥7分的偏颇体质构成比前3位依次是阴虚质、气虚质、气郁质。双变量相关性分析显示,平和质与主观睡眠质量、入睡时间、睡眠时间、睡眠障碍、日间功能障碍呈负相关,与睡眠效率呈正相关,气虚质、阴虚质、痰湿质、湿热质、血瘀质、气郁质与各因子呈正相关(P<0.05),其中日间功能障碍是与中医体质关联性最大的因子。月经周期有规律的1598例(78.84%),无规律的429例(21.16%),月经无规律类型主观睡眠质量、睡眠效率、日间功能障碍的睡眠因子得分高于有规律类型,差异有统计学意义(P<0.05);月经无规律类型气虚质、阳虚质、痰湿质、气郁质睡眠质量总分高于有规律类型,差异有统计学意义(P<0.05)。结论不同中医体质女学生睡眠质量与月经周期规律性存在一定的相关性,睡眠是影响月经周期规律的因素之一,改善睡眠质量可能有助于调整月经周期节律。

Objective To analyze the correlation between sleep quality and menstrual cycle of different TCM constitution types.Methods Using the cross-sectional survey method,2027 female college students in the first,second,five-year,third and fourth grades of Yunnan Xinxing Occupations Institute were selected from December 2018~January 2019.Pittsburgh Sleep quality Index Scale(PSQI),Early Morning-night Scale(MEQ)and TCM body quality scale were used to investigate the TCM physique type,sleep quality,sleep type and menstrual cycle of female college students.Results The scores of yang deficiency,yin deficiency,and phlegm and dampness of female students in different grades were statistically significant(P<0.05);Comparing the scores of calm quality,qi deficiency quality,dampness and heat quality,blood stasis quality,qi stagnation quality and special quality of female students of different grades,the difference was not statistically significant(P>0.05).There were 517 cases(25.51%)with moderate night type and night type,and 198 cases(9.77%)with moderate early morning type and early morning type.There was no statistically significant difference in sleep types between different TCM constitution groups(P>0.05).175 cases(8.63%)with PSQI≤3 points,1483 cases(73.16%)with PSQI 3~7 points,369 cases(18.20%)with PSQI≥7 points,and the biased constitution of PSQI≥7 points is negative Deficiency,qi deficiency,qi stagnation.Bivariate correlation analysis showed that peace quality was negatively correlated with subjective sleep quality,time to fall asleep,sleep time,sleep disturbance,daytime dysfunction,and positively correlated with sleep efficiency,qi deficiency,Yin deficiency,phlegm and dampness,dampness and heat quality,Blood stasis quality,qi stagnation quality were positively correlated with various factors(P<0.05),of which day dysfunction was the factor most related to Chinese medicine constitution.1598 cases(78.84%)with regular menstrual cycle and 429 cases(21.16%)with irregular period.Irregular menstruation type subjective sleep quality,sleep efficiency,daytime dysfunction sleep factor scores are higher than regular types,the difference was statistically significant(P<0.05);irregular menstruation type of qi deficiency,Yang deficiency,phlegm and dampness the total score of qi depression sleep quality was higher than that of regular types,the difference was statistically significant(P<0.05).Conclusion There is a certain correlation between sleep quality and regularity of menstrual cycle for female students of different TCM constitutions.Sleep is one of the factors affecting the regularity of menstrual cycle.Improving sleep quality may help to adjust the rhythm of menstrual cycle.