摘要
目的 探讨失眠患者的临床特点及中医疗法,旨在提高临床医生对失眠的认知和诊治水平。方法 回顾性分析2011年11月至2022年11月我院96例失眠患者的临床病例资料,包括就诊年龄、性别、病程、治疗时间、治疗方法、慢性疾病及诊断类型。采用单因素和多因素Logistic回归分析影响失眠患者治疗效果的因素,并绘制受试者工作特征(ROC)曲线,遴选出能预测影响失眠治疗效果的指标。结果 患者的就诊年龄主要集中在41~70岁,≤30岁及81~90岁的患者较少,不同年龄段的女性患者占比均高于男性。就诊年龄是影响失眠治疗效果的危险因素,而治疗时间和中药联合针灸治疗是影响失眠治疗效果的保护因素(P<0.05)。结论 就诊年龄是影响失眠治疗效果的危险因素,而治疗时间和中药联合针灸疗法是影响失眠治疗效果的保护因素。临床应根据患者的综合特征,科学地将非药物治疗与中医药疗法相结合,从而提高睡眠质量。
Objective To explore the clinical characteristics of insomnia patients and traditional Chinese medicine therapy,in order to improve the clinicians'cognition,diagnosis and treatment level of insomnia.Methods The clinical data of 96 patients with insomnia in our hospital from November 2011 to November 2022 were retrospectively analyzed,including age,gender,course of disease,treatment time,treatment method,chronic disease and diagnosis type.Univariate and multivariate Logistic regression analysis was used to analyze the factors affecting the therapeutic effect of insomnia patients,and the receiver operating characteristic(ROC)curve was drawn to select the indicators that could predict the effect of insomnia treatment.Results The age of patients was mainly concentrated in 41-70 years old,and there were fewer patients aged≤30 years old and 81-90 years old,the proportion of female patients in different age groups was higher than that of male patients.The age of treatment was a risk factor affecting the therapeutic effect of insomnia,while the treatment time and the combination of traditional Chinese medicine and acupuncture and moxibustion were the protective factors affecting the therapeutic effect of insomnia(P<0.05).Conclusion The age of treatment is a risk factor affecting the therapeutic effect of insomnia,while the treatment time and the combination of traditional Chinese medicine and acupuncture and moxibustion are the protective factors affecting the therapeutic effect of insomnia.Clinically,non-drug therapy should be scientifically combined with traditional Chinese medicine therapy according to the comprehensive characteristics of patients,so as to improve sleep quality.
作者
王春宇
张景珍
王柔嘉
李宏秀
张琳
WANG Chunyu;ZHANG Jingzhen;WANG Roujia;LI Hongxiu;ZHANG Lin(Pharmacy Department,Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250011,China)
出处
《临床医学研究与实践》
2024年第2期25-28,共4页
Clinical Research and Practice
关键词
失眠
中药联合针灸
临床特点
回顾性分析
insomnia
traditional Chinese medicine combined with acupuncture and moxibustion
clinical characteristic
retrospectively analyze
