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| 某岛礁驻礁人员睡眠质量与中医体质的关系 |
| 李琨1,尤艳利2*,贾邯梦3,陈向荣3,陈嘉辉2,王新2,白玲玲2,李由1,孙超越1,陈虹霖1,王丽娜4 |
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(1. 海军军医大学(第二军医大学)基础医学院, 上海 200433;
2. 海军军医大学(第二军医大学)中医系针灸推拿教研室, 上海 200433;
3. 中国人民解放军 91251部队卫生队, 上海 200940;
4. 海军军医大学（第二军医大学）中医系，上海 200433
*通信作者) |
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| 摘要: |
| 目的 探究某岛礁驻礁人员睡眠状况与中医体质的关系。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Spearman等级相关分析睡眠状况与累计驻礁时间的关系；采用Pearson χ2检验比较失眠驻礁人员与非失眠驻礁人员的中医体质分布情况；采用二元逐步logistic回归分析筛选影响失眠的中医体质。结果 在722名驻礁人员中，无失眠者308人（42.7%），失眠患者414人（57.3%）。失眠与非失眠驻礁人员的中医体质分布差异有统计学意义（P均＜0.01），失眠驻礁人员中平和质较少，另外8种偏颇体质均较多，其中占比较高的3种依次为气郁质（89.6%，138/154）、血瘀质（88.7%，149/168）、痰湿质（86.0%，160/186）。二元逐步logistic回归分析结果显示，平和质（β＝ －0.647，OR＝0.524，P＝0.036）是驻礁人员失眠的保护因素，气虚质（β＝0.654，OR＝1.906，P＝0.032）、湿热质（β＝0.607，OR＝1.834，P＝0.042）、气郁质（β＝0.705，OR＝2.025，P＝0.049）是失眠的危险因素。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。 |
| 关键词: 驻礁人员 睡眠质量 失眠 中医体质 |
| DOI：10.16781/j.CN31-2187/R.20220677 |
| 投稿时间：2022-08-18修订日期：2022-12-22 |
| 基金项目:军委后勤保障部卫生局中医药服务能力培育与提升专项计划（2021ZY012），上海市科学技术委员会引导项目（19401930100），海军军医大学（第二军医大学）第一附属医院“深蓝123”项目，海军军医大学（第二军医大学）孵化基地项目（2021），海军军医大学（第二军医大学）中医系薪火传承军事医学专项（ZY2021017），军队卫生防疫防护专项任务［2022（98）］. |
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| Relationship between sleep quality and traditional Chinese medicine constitution of people stationed on an island |
| LI Kun1,YOU Yanli2*,JIA Hanmeng3,CHEN Xiangrong3,CHEN Jiahui2,WANG Xin2,BAI Lingling2,LI You1,SUN Chaoyue1,CHEN Honglin1,WANG Lina4 |
(1. College of Basic Medical Sciences, Naval Medical University(Second Military Medical University), Shanghai 200433, China;
2. Department of Acupuncture and Massage, School of Traditional Chinese Medicine, Naval Medical University(Second Military Medical University), Shanghai 200433, China;
3. Medical Team, No. 91251 Troop Hospital of PLA, Shanghai 200940, China;
4. School of Traditional Chinese Medicine, Naval Medical University(Second Military Medical University), Shanghai 200433, China
*Corresponding author) |
| Abstract: |
| Objective To investigate the relationship between sleep status and traditional Chinese medicine (TCM) constitution of people stationed on an island. Methods Cluster sampling method was adopted to investigate the personnel stationed on the island 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 status and accumulative time on island. Pearson chi-square test was used to compare the distribution of TCM constitution between insomnia and non-insomnia people. Binary stepwise logistic regression analysis was used to screen the main influencing factors of TCM constitution for insomnia. Results Among the 722 people surveyed, 308 (42.7%) had no sleep disorder and 414 (57.3%) suffered from insomnia. There was a significant difference in the distribution of TCM constitution between insomnia and non-insomnia people (all P＜0.01). The balanced constitution was less in the insomnia personnel, and the other 8 kinds of biased constitution were more. The 3 types of constitution with higher proportion were qi-stagnation constitution (89.6%, 138/154), blood-stasis constitution (88.7%, 149/168), and phlegm-dampness constitution (86.0%, 160/186). The results of binary stepwise logistic regression analysis showed that the balanced constitution (β＝－0.647, OR＝0.524, P＝0.036) was a protective factor for insomnia among personnel stationed on island, while qi-deficiency constitution (β＝0.654, OR＝1.906, P＝0.032), dampness-heat constitution (β＝0.607, OR＝1.834, P＝0.042), and qi-stagnation quality (β＝0.705, OR＝2.025, P＝0.049) were risk factors for insomnia. Conclusion The sleep quality of personnel stationed on island is related to the type of TCM constitution. Balanced constitution is a protective factor of insomnia, while qi-deficiency, dampness-heat, and qi-stagnation constitution are the risk factors of insomnia. |
| Key words: people stationed on an island sleep quarity insomnia constitution of traditional Chinese medicine |
