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高原高山地区失眠中医证型证素分布及睡眠质量指数特点研究 被引量:1
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作者 陈钦成 许雪梅 +2 位作者 朱勇 杨艳 刀丽华 《实用中医内科杂志》 2021年第2期25-29,共5页
目的探讨高原高山地区失眠中医证型证素分布及睡眠质量指数特点,弥补对高原高山地区失眠中医证型证素及睡眠质量指数研究数据的不足。为全国不同地域失眠病症的辨证论治提供更科学更全面的客观依据。方法按照《中医病症诊断标准》、PSQ... 目的探讨高原高山地区失眠中医证型证素分布及睡眠质量指数特点,弥补对高原高山地区失眠中医证型证素及睡眠质量指数研究数据的不足。为全国不同地域失眠病症的辨证论治提供更科学更全面的客观依据。方法按照《中医病症诊断标准》、PSQI自评量表对失眠患者进行证候分类及问卷调查。采用卡方检验和对应分析等多种统计学方法研究高原高山地区失眠中医证型证素分布及睡眠质量指数特点。结果共纳入312例失眠患者,归纳14种证型,其中排列前3的由多到少依次是痰火扰心、心脾两虚、肝火扰心。高原高山地区痰火扰心(102例,32.69%)远超过心脾两虚(58例,18.59%)排列第1,组间差异具有统计学意义(P<0.01)。心脾两虚PSQI位于第1(17.90±1.31),痰热扰心PSQI位于第2(16.97±1.84),组间差异具有统计学意义(P<0.05)。病位证素分布中"心"位于首位(232例,54.72%)。病性证素分布中"火"位于首位(157例,30.31%)。结论高原高山地区痰热扰心型失眠远高于全国整体地区位列首位的心脾两虚型失眠。失眠证型比率与睡眠质量指数之间无相关性。高原高山地区心脾两虚失眠症状更严重。无论男女,在30~69岁年龄段痰热扰心及心脾两虚失眠发病率高、PSQI指数高。失眠主要影响到心,火是最主要的病因。通过证型证素及PSQI研究能为失眠的中医辨证论治提供客观化证据。 展开更多
关键词 失眠 高原高山地区 证型分布 证素分布 睡眠质量指数 中医辨证论治 临床研究 中医药研究 失眠的临床研究
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Effect of Snow-cover Duration on Plant Species Diversity of Alpine Meadows on the Eastern Qinghai-Tibetan Plateau 被引量:19
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作者 CHEN Wennian WU Yan WU Ning LUO Peng 《Journal of Mountain Science》 SCIE CSCD 2008年第4期327-339,共13页
Although snow cover plays an important role in structuring plant diversity in the alpine zone, there are few studies on the relationship between snow cover and species diversity of alpine meadows on the eastern Qingha... Although snow cover plays an important role in structuring plant diversity in the alpine zone, there are few studies on the relationship between snow cover and species diversity of alpine meadows on the eastern Qinghai-Tibetan Plateau. To assess the effect of snow cover on plant species diversity of alpine meadows, we used ten parallel transects of 60 m × 1 m for this study and described the changes in species diversity and composition associated with snow depth. With the division of snow depth into six classes, the highest species richness (S) and species diversity (H′) occurred with an intermediate snow depth, i.e., class Ⅲ and class Ⅳ, showing a unimodal curve with the increase in snow depth. The relationship between snow depth and plant diversity (both richness and Shannon index) could be depicted by quadratic equations. There was no evident relationship between diversity (both S and H′) and soil water content, which implied that other more important factors influenced species diversity. The patterns of diversity found in our study were largely attributed to freeze-thaw alteration, length of growing season and disturbances of livestock grazing. Furthermore, snow depth affected species composition, as evaluated by the Sorensen's index of similarity. In addition, almost all species limited to one snow depth class were found only in class Ⅲand class Ⅳ, indicating that intermediate snow depth was suitable for the survival and growth of many alpine species. 展开更多
关键词 Disturbance Freeze-thaw alteration Plant species diversity Snow depth EasternQinghai-Tibetan Plateau
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