抑郁障碍相关性失眠的临床特点及中医证候分布情况初步研究

目的探讨抑郁障碍相关性失眠的临床特点及中医证候分布规律。方法对112例抑郁障碍相关性失眠患者进行中医证候调查、匹兹堡睡眠质量量表(PSQI)问卷调查。结果抑郁障碍相关性失眠患者早醒占全部调查病例的73.21%,日间残留效应晨起重者占79.46%。中医证候心脾两虚证占55.36%,是抑郁障碍相关性失眠的主要证候类型,与PSQI各因子相关性分析显示心脾两虚证入睡时间最短、睡眠时间最短、日间残留效应最明显。结论抑郁障碍相关性失眠以心脾两虚证为多见,其主要临床特征为早醒、日间残留效应明显且晨重暮轻。

Distribution and clinical characteristics of TCM syndromes in depressive insomnia

Objective To discuss the distribution characteristics of TCM syndromes in depressive insomnia. Methods The survey of TCM syndromes and questionnaire of PSQI were given to 112 patients with depressive insomnia. Results The proportion of premature-awake patients was 73.21 % in all insomnia patients, that of the patients with diurnal residual effects (serious in the morning) was 79.46 %, and that of the patients with the syndrome of heart and spleen deficiency was 55.36 %, which was the most common syndrome type. The correlation analysis related to PSQI factors showed that the patients with the syndrome of heart and spleen deficiency had the shortest time of falling asleep and sleep time, and the most remarkable diurnal residual effects. Conclusion The depressive insomnia is mostly related to TCM syndrome of heart and spleen deficiency with the clinical characteristics of premature-awake and diurnal residual effects (serious in the morning).