乳腺增生患者不同体质类型与睡眠质量的相关性研究

Study on Correlation between Different Constitution Types and Sleep Quality in Patients with Breast Hyperplasia

目的:探究乳腺增生人群不同中医体质类型与睡眠质量的相关性。方法:选取乳腺增生人群900例进行匹兹堡睡眠质量指数量表(PSQI)调查,并对纳入的人群进行体质类型评定。根据分值将睡眠状况分为睡眠质量佳(PSQI总分<8)和睡眠质量差(PSQI总分≥8)两组,探究并分析睡眠质量指数与体质类型的相关性。结果:最终共纳入有效患者820例,睡眠质量佳者多表现为平和质(87.11%),睡眠质量差者多表现为偏颇质(83.78%),偏颇体质类型排名前三的分别是气郁质(17.60%)、血瘀质(13.79%)以及湿热质(13.10%)。回归分析结果显示,入睡时间与平和质呈负相关,与血瘀质、气郁质呈正相关;催眠药物与湿热质呈正相关;日间功能与阳虚质呈正相关。结论:乳腺增生患者睡眠质量与中医体质类型具有线性回归关系,气郁质、血瘀质、阳虚质、湿热质是影响睡眠状况主要的4种中医体质类型,建议对该类偏颇体质的乳腺增生患者除了药物治疗,也应开展体质指导和调理。

Objective: To explore the correlation between different constitution types in Chinese medicine and sleep quality in people with breast hyperplasia. Methods: Selected 900 cases of patients with breast hyperplasia, surveyed them by Pittsburgh sleep quality index(PSQI), and assessed their constitutional types. Divided their sleep status into two groups according to the scores: the group of good sleep quality(PSQI total score <8) and the group of poor sleep quality(PSQI total score ≥8),and explored and analyzed the correlation between sleep quality indexes and constitution types. Results: In the end, 820 effective cases of patients were included, in which those with good sleep quality were more likely to show constitution of yin-yang harmony(87.11%),and those with poor sleep quality showed imbalanced constitution(83.78%). The top three of the imbalanced constitution were qi depression constitution(17.60%), blood stasis constitution(13.79%) and damp-heat constitution(13.10%). The results of regression analysis showed that the time for falling asleep was negatively correlated with the constitution of yin-yang harmony, and positively correlated with the blood stasis constitution and qi depression constitution;the hypnotic drugs were positively correlated with the damp-heat constitution;the daytime function was positively correlated with the yang deficiency constitution. Conclusion: There is a linear regression relationship between sleep quality and constitution types in Chinese medicine in patients with breast hyperplasia. The qi depression constitution,blood stasis constitution, yang deficiency constitution and damp-heat constitution are the four main types of constitutions in Chinese medicine that affect sleep status. It is recommended that in addition to drug therapy patients with breast hyperplasia in this type of imbalanced constitution should also be given physical guidance and conditioning.