某岛礁驻礁人员睡眠质量与中医体质的关系研究

目的 探究某岛礁驻礁人员睡眠情况与中医体质之间关系。 方法 采用整群抽样法,使用自编人口学问卷、匹兹堡睡眠质量指数(PSQI)量表、中医体质量表对某岛礁驻礁人员进行调查,获得722份合格问卷。采用斯皮尔曼等级相关分析睡眠情况与累计驻礁时间的关系；采用皮尔森卡方检验分析失眠患者与非失眠患者中医体质分布是否存在差异；采用二元逐步logistic回归分析筛选对失眠有意义的主要中医体质影响因素。 结果 在722名岛礁驻礁人员中,无睡眠障碍的受试共308(42.7%)位,失眠患者共414(57.3%)位。失眠与非失眠患者中医体质分布差异有统计学意义(P＜0.01)。控制一般人口学因素(性别、年龄)及驻礁时间后,发现平和质、气虚质、湿热质和气郁质四种中医体质与驻礁人员睡眠质量有关。结论 驻礁人员的睡眠质量与中医体质类型有关,其中,平和质是失眠的保护因素,气虚质、湿热质、气郁质是失眠的危险因素。

A study on the relationship between sleep quality and TCM constitution of people stationed on reefs

Objective To investigate the relationship between sleep condition and TCM constitution of people stationed on reefs. Methods CLuster sampling method was adopted to investigate the personnel stationed on reefs by using the self-designed demographic questionnaire, Pittsburgh Sleep Quality Index (PSQI) scale and TCM constitution scale, and 722 qualified questionnaires were obtained. Spearman rank correlation was used to analyze the relationship between sleep condition and accumulative time on reef. Pearson chi-square test was used to analyze whether there were differences in the distribution of TCM constitutions between insomnia patients and non-insomnia patients. Binary stepwise logistic regression analysis was used to screen the main influencing factors of TCM constitution for insomnia. Results Among the 722 people stationed on reefs, 308(42.7%) had no sleep disorder and 414(57.3%) suffered from insomnia. There was statistically significant difference in TCM constitution distribution between insomnia and non-insomnia patients (P<0.01). After controlling the general demographic factors (gender, age) and accumulative time on reef, we found that the four TCM constitution of balanced, qi-deficiency, dampness-heat, and qi stagnation are related to the sleep quality of the personnel stationed on reefs. Conclusion The sleep quality of the personnel stationed on reefs is related to the type of traditional Chinese medicine constitution, among which, balanced constitution is the protective factor of insomnia, and qi-deficiency, dampness-heat, and qi stagnation constitution are the risk factors of insomnia.