目的 探讨医学生睡眠质量与中医体质的分布特点及二者之间的关联性。方法 采用横断面研究，对安徽2所高校1 137例医学生的睡眠质量及中医体质分布情况进行横断面调查。采用典型相关分析探讨二者之间的相关性。结果 ①医学生睡眠障碍检出率为26.30%，男女学生在睡眠障碍得分上的差异具有统计学意义（P＜0.05），各年级医学生在睡眠质量各因子得分上的差异具有统计学意义（P＜0.05）。②医学生平和质占18.47%，偏颇体质占81.53%。偏颇体质中排名前3位的依次是气虚质（占17.77%）、阴虚质（占15.22%）和阳虚质（占14.16%）。③不同体质类型的学生睡眠质量差异具有统计学意义（P＜0.05）。典型相关分析显示医学生中医体质与睡眠质量存在显著的相关性（P＜0.05）。V1所代表的湿热质与W1所代表的匹兹堡睡眠质量指数(Pittsburgh sleep quality index, PSQI)正相关，湿热体质者PSQI得分高，睡眠质量差。结论 医学生睡眠质量不佳，发生偏颇体质的可能性较高，气虚质、阴虚质、气郁质、湿热质者睡眠质量较差。
Objective To investigate the distribution characteristics of traditional Chinese medicine (TCM) constitution and sleep quality and their correlation among medical students. Methods A crosssectional survey was performed to investigate sleep quality and distribution of TCM constitution among 1 137 medical students from two universities in Anhui, China. A canonical correlation analysis was used to investigate the correlation between TCM constitution and sleep quality. Results The detection rate of sleep disturbance was 26.30% among these medical students, and there was a significant difference in the score of sleep disturbance between male and female students (P<0.05). There were also significant differences in the scores of each factor of sleep quality between the medical students from different grades (P<0.05). Among these medical students, 18.47% had normal constitution and 81.53% had biased constitution. The most common type of biased constitution was Qideficiency constitution (17.77%), followed by Yindeficiency constitution (15.22%) and Yangdeficiency constitution (14.16%). There was a significant difference in sleep quality between the students with different constitution types (P<0.05). The canonical correlation analysis showed a significant correlation between TCM constitution and sleep quality among medical students (P<0.05). Dampheat constitution represented by V1 was positively correlated with Pittsburgh Sleep Quality Index (PSQI) represented by W1, and the patients with dampheat constitution had a high PSQI score and poor sleep quality. Conclusion Medical students have poor sleep quality, with a high possibility of biased constitution, and the medical students with Qideficiency constitution, Yindeficiency constitution, Qistagnation constitution, and dampheat constitution tend to have poor sleep quality.
杨 洁,朱继民,武 松,李 静,王鸣瑞,鹿煜炜.医学生中医体质与睡眠质量的相关性分析[J].安徽中医药大学学报,2019,38(6):16-20复制