海军特殊作业人员睡眠状况与中医体质的相关性研究

Study on the relation between sleep status and the constitution of Traditional Chinese Medicine among Naval special service personnel

目的 了解海军特殊作业人员的睡眠状况及中医体质分布情况,并探讨两者之间的相关性。方法 采用匹兹堡睡眠质量指数(PSQI)、中医体质量表等对在海军青岛特勤疗养中心疗养的141名海军特殊作业人员进行睡眠状况调查及中医体质辨识,运用多重对应分析、多因素Logistic回归分析等统计学方法进行数据相关性分析。结果 海军特殊作业人员PSQI因子总分及睡眠质量、入睡时间、睡眠效率、催眠药物单因子得分与国内常模比较差异有统计学意义(P<0.05)。141例海军特殊作业人员中睡眠质量差者38例,占27.0%。除催眠药物因子外,睡眠质量差组PSQI总分及各因子得分均高于睡眠质量好组,差异有统计学意义(P<0.01)。141例海军特殊作业人员中偏颇体质123例(87.2%),类型以阳虚质(22.8%)、湿热质(20.3%)、痰湿质(17.1%)最为多见。海军特殊作业人员睡眠状况与体质类型、工作年限、文化程度、性别、年龄均存在相关性,其中湿热质、血瘀质、阴虚质可能是官兵睡眠问题的独立危险因素(P<0.01)。结论 海军特殊作业人员睡眠障碍及偏颇体质者均占比较高,整体健康水平有待提高,其睡眠状况与中医体质存在相关性,可以从调理偏颇体质入手,发挥中医“治未病”在官兵健康维护方面的作用。

Objective To investigate the sleep status and the constitution of Traditional Chinese Medicine among the Naval special service personnel, and explore the correlation between them.Methods An investigation of sleep status among the 141 Naval special service personnel were assessed and evaluated by the PSQI and TCM constitution scale. Data analyses were performed by using multiple correspondence analysis and multivariate Logistic regression analysis.Results There were statistical significance in the PSQI factor scores, sleep-quality, fall-asleep-time, sleep-efficiency and hypnotic-drug scores, as compared with the Chinese norm(P<0. 05). Of the 141 Naval special service personnel, 38(27. 0%) of them had sleep disorder. Except for hypnotic-drugs factor, the total PSQI scores and single factor scores of the poor sleep group were significantly higher than those of the good sleep group(P<0. 01). Of the 141 Naval special service personnel, 123(87. 2%) of them had paranoid constitution, and those respectively with yangdeficiency(22. 8%), dampness-heat(20. 3%) and phlegm-dampness(17. 1%) were mostly commonly seen. The sleep status of the Naval special service personnel were correlated with paranoid constitution, service years, educational background, gender and age.Of all the factors, dampness-heat, blood-stasis and Yin-deficiency were independent risk factors of sleep disorder(P<0. 01).Conclusion Sleep disorder and paranoid constitution among the special service personnel accounted for a high percentage, whose overall health needs further improvement. Sleep status is correlated with paranoid constitution. To solve the problem, Traditional Chinese Medicine can play an important role in health maintenance of Naval special service personnel through adjustment of paranoid constitution.