【摘要】目的 研究内蒙古中西部地区老年人中医体质类型与睡眠质量相关性，明确那些偏颇体质容易使老年人罹患睡眠质量障碍，为进一步针对偏颇体质老年人采取干预措施以改善睡眠提供理论依据。方法 本研究为现况调查研究，采用便利抽样法选取2021年3月1日—2022年9月1日于内蒙古中西部地区体检及住院的907例老年人为研究对象，采用匹兹堡睡眠指数量表(PSQI)、老年版中医体质分类与判定量表及一般人口学特征调查表，对居住在内蒙古中西部地区内的老年人进行横断面调查，分析内蒙古中西部地区老年人中医体质与睡眠质量的相关性。结果 39.36%的老人存在睡眠质量障碍，其中老年女性及气虚质人群是睡眠质量障碍的主要人群；平和体质与睡眠质量呈显著负相关，而偏颇体质与睡眠质量呈显著正相关。特禀质在睡眠障碍中得分最高；气虚质在主观睡眠质量，入睡时间，睡眠时间，日间功能障碍这4个因子中得分最高；气郁质在睡眠效率和使用催眠药物这2个因子中得分最高。结论 老年人中医体质类型与睡眠质量之间存在相关性，不同体质老年人睡眠障碍的症状不同, 因此，根据老年人的不同体质进行辨体养生干预以期改善老年人睡眠质量，对老年人保持身心健康具有重要意义。

【Abstract】Objective To study the correlation between TCM constitution types and sleep quality of the elderly in central and western Inner Mongolia, and to make clear that those biased constitutions are easy to make the elderly suffer from sleep quality disorders, so as to provide theoretical basis for further intervention measures for the elderly with biased constitutions to improve their sleep. Methods This study is a cross-sectional survey of 907 elderly people who were physically examined and hospitalized in the central and western Inner Mongolia from March 1, 2021 to September 1, 2022. Pittsburgh Sleep Index Scale (PSQI), the old version of TCM Constitution Classification and Judgment Scale and the general demographic characteristics questionnaire were used to conduct a cross-sectional survey of the elderly living in the central and western Inner Mongolia, and to analyze the correlation between TCM constitution and sleep quality of the elderly in the central and western Inner Mongolia. Results 39.36% of the elderly have sleep quality disorders, among which elderly women and people with qi deficiency are the main groups with sleep quality disorders. There is a significant negative correlation between peaceful constitution and sleep quality, while there is a significant positive correlation between biased constitution and sleep quality. Intrinsic substance scored the highest in sleep disorder; Qi deficiency has the highest score in subjective sleep quality, sleep time, sleep time and daytime dysfunction. Qi stagnation scored the highest among two factors: sleep efficiency and use of hypnotic drugs. Conclusions There is a correlation between TCM constitution types and sleep quality of the elderly, and the symptoms of sleep disorders are different for the elderly with different constitutions. Therefore, it is of great significance to carry out health care intervention according to the different constitutions of the elderly in order to improve their sleep quality and maintain their physical and mental health.

内蒙古医科大学致远人才计划(ZY0120018)