睡眠-觉醒昼夜节律及中医体质对女性月经周期的影响

Effect of sleep-wake circadian rhythm and TCM constitution on female menstrual cycle

目的:探讨育龄期女性睡眠节律、中医体质对月经周期的影响。方法:采用调查问卷的方式对100名育龄期志愿者睡眠节律及月经周期进行调查,使用舌面脉信息采集体质辨识系统进行体质判定,使用二分类logistic回归模型分析育龄期女性月经周期的影响因素。结果:月经正常组与异常组人群在主观睡眠质量、入睡时间、睡眠时间、睡眠效率、日间功能障碍及睡眠类型间比较差异有统计学意义(P<0.05);月经正常组平和质占比高于月经异常组,月经异常组气虚质及血瘀质占比高于月经正常组(P<0.05),其余体质在两组不同人群中所占比例无差异(P>0.05)。行logistic回归分析,结果提示睡眠效率、日间功能障碍及血瘀质为月经紊乱的危险因素,平和质为保护因素。结论:睡眠效率、日间功能障碍及血瘀质为月经紊乱的危险因素,平和质为保护因素。养成良好生活作息,提高睡眠质量,改善女性血瘀体质倾向,有助于促进女性健康。

Objective:To approach the effect of sleep rhythm and TCM constitution of women of childbearing age on menstrual cycle.Methods:Sleep rhythm and menstrual cycle of 100 female volunteers of childbearing age were investigated by questionnaire.The constitutions were determined by constitution identification system of tongue pictures information acquisition.The influencing factors of menstrual cycle of women of childbearing age were analyzed by binary logistic regression model.Results:Compared following indexes in crowds between normal menstruation group and abnormal menstruation group,such as subjective sleeping quality,falling asleep time,sleeping duration,sleeping efficiency,daytime dysfunction and sleeping types,the difference was statistically significant(P<0.05).The proportion of yin-yang harmony constitution in normal menstruation group was higher than that in abnormal menstruation group,while the proportion of qi-deficiency and blood-stasis constitutions in abnormal menstruation group was higher than that in normal menstruation group(P<0.05).The proportion of other constitutions had no difference in different crowds of two groups(P>0.05).The results of logistic regression analysis showed that sleeping efficiency,daytime dysfunction and blood stasis constitution were risk factors of menstrual disorder,while yin-yang harmony constitution was a protective factor.Conclusion:Sleeping efficiency,daytime dysfunction and blood stasis constitution are risk factors of menstrual disorder,while yin-yang harmony constitution is a protective factor.