中医不寐五神分型心不藏神型与肾不藏志型PSG特征研究

发布时间：2018-05-14 21:34

本文选题：不寐 + 中医不寐五神分型法　；参考：《新疆医科大学》2017年硕士论文

【摘要】：目的:探讨中医不寐五神分型中心不藏神型与肾不藏志型多导睡眠图睡眠相关参数是否存在差异性及规律性,进一步充实中医不寐五神分型法的客观证据。方法:病例组来自新疆医科大学附属中医医院神志科2014年11月至2016年07月期间住院诊断为失眠症的患者中,按照中医不寐五神分型标准,选取心不藏神型45例,肾不藏志型45例;正常对照组45例来自同期附属中医医院体检中心及门诊志愿者且身心健康无睡眠障碍。对135例研究对象进行多导睡眠图监测并采集睡眠相关参数,分析比较心不藏神型、肾不藏志型及正常对照组睡眠相关参数是否存在差异性及规律性。结果:1.中医不寐五神分型中心不藏神型与肾不藏志型睡眠结构、睡眠进程与正常对照组比较均发生改变。2.中医不寐五神分型中心不藏神型与肾不藏志型之间总睡眠时间、睡眠效率无明显差异;睡眠潜伏期心不藏神型大于肾不藏志型,而WT与WT%心不藏神型小于肾不藏志型;两型之间N1、N1%、N2、N3、N3%、NREM及浅睡眠时间无明显差异,NREM%、N2%、及浅睡眠占总睡眠时间的百分比心不藏神型小于肾不藏志型,而REM及REM%心不藏神型大于肾不藏志型。结论:中医不寐五神分型中心不藏神型与肾不藏志型睡眠相关参数存在显著差异性。
[Abstract]:Objective: to explore the difference and regularity of sleep related parameters in sleep patterns of the patients with insomnia in TCM, and to further substantiate the objective evidence of the classification method of the five spirits of insomnia in traditional Chinese medicine. Methods: from November 2014 to July 2016, 45 patients with insomnia were selected from Department of mind of affiliated Hospital of traditional Chinese Medicine of Xinjiang Medical University, according to the classification standard of five gods of insomnia in traditional Chinese medicine. The normal control group of 45 cases came from physical examination center and outpatient clinic of affiliated Chinese medicine hospital and had no sleep disorder. The polysomnography was used to monitor the sleep parameters of 135 subjects and to compare the difference and regularity of sleep related parameters between the type of heart and mind, the type of kidney and the control group. The result is 1: 1. The sleep structure of the patients with insomnia in the center of the syndrome of the five spirits of traditional Chinese medicine was different from that of the normal control group, and the sleep process of the patients with insomnia was different from that of the normal control group. There was no significant difference in total sleep time and sleep efficiency between the type of syndrome of five spirits of insomnia in traditional Chinese medicine, the type of non-reserving spirit of heart and the type of not reserving records of kidney, the type of sleep latency was larger than the type of not reserving the spirit of kidney, while the type of WT and WT% was smaller than the type of not reserving the spirit of kidney. There was no significant difference in NREM and light sleep time between the two types. The percentage of light sleep in the total sleep time was lower in the type of heart not reserving spirit than that in type of kidney, while the type of REM and REM% of heart did not hide spirit was larger than that of type of kidney without record. Conclusion: there are significant differences in sleep related parameters between the type of syndrome of five spirits of insomnia in traditional Chinese medicine and the type of kidney.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R256.23

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