사상체질에 따른 수면장애 현황 및 급여 한약제제 처방 특성: 국민건강보험청구자료 분석(2011-2020)
Characteristics of Sasang Constitution-Based Sleep Wake Disorder and Herbal Medicine: Using the National Health Insurance Data of Korea (2011-2020)
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Objectives The types and severity of symptoms reported by patients with sleep disorders vary widely depending on the subtype. The objective of this study is to examine the characteristics of concurrent conditions and reimbursed herbal prescriptions according to Sasang constitution-based diagnoses among patients with sleep disorders over the past decade. Methods In this study, we extracted patients who visited with a primary diagnosis of sleep wake disorder based on National Health Insurance claims data of Korea from 2011 to 2020 and received Sasang constitutional diagnosis. We analyzed their demographic information and prescribed and covered by insurance herbal medications. Results A total of 81,237 patients with sleep-wake disorders were observed, with 54.6% of the cohort being Taeeum. When analyzing the distribution of Sasang constitution types across different subtypes of sleep disorders, Taeeum had the highest prevalence in both insomnia (54.7%) and circadian rhythm sleep-wake disorders (81.8%). In contrast, Soyang was most prevalent in sleep apnea (73.2%) and central disorders of hypersomnia (44.7%). Soeum accounted for the majority of parasomnia cases (50.0%). Regarding herbal medications prescribed for sleep disorders, Hwanlyeonhaedok-tang was commonly prescribed for Soeum, Soyang, and Taeeum patients. Gamisoyo-san was frequently prescribed for Soeum and Soyang patients, while Sosiho-tang was most often prescribed for Soyang patients. Conclusion This study confirmed differences in the prevalence of sleep disorder subtypes according to Sasang constitution type. To gain a more detailed understanding of specific constitutions and their relationship with sleep disorders, well-designed clinical studies are recommended.
Abstract
Objectives The types and severity of symptoms reported by patients with sleep disorders vary widely depending on the subtype. The objective of this study is to examine the characteristics of concurrent conditions and reimbursed herbal prescriptions according to Sasang constitution-based diagnoses among patients with sleep disorders over the past decade. Methods In this study, we extracted patients who visited with a primary diagnosis of sleep wake disorder based on National Health Insurance claims data of Korea from 2011 to 2020 and received Sasang constitutional diagnosis. We analyzed their demographic information and prescribed and covered by insurance herbal medications. Results A total of 81,237 patients with sleep-wake disorders were observed, with 54.6% of the cohort being Taeeum. When analyzing the distribution of Sasang constitution types across different subtypes of sleep disorders, Taeeum had the highest prevalence in both insomnia (54.7%) and circadian rhythm sleep-wake disorders (81.8%). In contrast, Soyang was most prevalent in sleep apnea (73.2%) and central disorders of hypersomnia (44.7%). Soeum accounted for the majority of parasomnia cases (50.0%). Regarding herbal medications prescribed for sleep disorders, Hwanlyeonhaedok-tang was commonly prescribed for Soeum, Soyang, and Taeeum patients. Gamisoyo-san was frequently prescribed for Soeum and Soyang patients, while Sosiho-tang was most often prescribed for Soyang patients. Conclusion This study confirmed differences in the prevalence of sleep disorder subtypes according to Sasang constitution type. To gain a more detailed understanding of specific constitutions and their relationship with sleep disorders, well-designed clinical studies are recommended.
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