大学生失眠症中医证型分布的调查研究

目的：研究大学生失眠症中医证型的分布规律。方法：根据文献拟定《失眠症中医证型调查表》,对2013年12月~2015年12月因失眠就诊于浙大校医院的浙江大学大学生进行问卷调查,判断中医证型。结果：大学生失眠患者的中医证型由多到少依次是肝郁脾虚、心脾两虚、肝郁化火、阴虚火旺、痰热内扰、其他证型和心胆气虚型,其中以肝郁脾虚、心脾两虚和肝郁化火3个证型最为常见,三者累计70.1%。结论：除了常见的心脾两虚和肝郁化火型,大学生失眠患者也常见肝郁脾虚这个以往关注较少的证型,本研究提出的分型方法对指导临床治疗有重要意义。

The investigation of the college students insomnia TCM syndrome type distribution

Objective: to study the distribution regularity of college students of TCM syndrome types of insomnia. Methods: according to the papers to formulate the insomnia of TCM syndrome type questionnaire. From December 2013 to December 2013, research the insomnia of zhejiang university college students in the zhejiang university college hospital, the questionnaire survey to determine TCM syndrome types. Results: patients with insomnia of TCM syndrome types from more to less is to change: stagnation of liver qi and spleen deficiency, insufficiency of heart and spleen, depression of the liver generates pathogenic fire, fire excess from yin deficiency,phlegm-heat attacking internally, the other type and heart and gallbladder qi deficiency type.The top three types among those are the most common types, cumulative 70.1%.Conclusion: in addition to the common two deficiency and liver depression type fire mist, college students less common to change the past focus on patients with insomnia deficiency type, this study proposed classification method has important significance to guide clinical treatment.