摘要
目的探讨亚健康状态的中医基本证候分布特征。方法基于临床流行病学方法,2009年10-12月对上海市静安区教育和卫生工作者进行横断面调查,总结亚健康的主要中医症状、体征及基本证型分布情况。结果 1502名调查对象中有1152名处于亚健康状态;其临床症状以疲劳、疲乏休息后不能缓解、头昏沉、眼睛干涩、眼睛酸胀、咽干、记事困难、食欲减退、饮水减少、易汗出、疼痛、消极感、易怒、入睡困难、早醒、睡眠质量差、精力不充沛、精力下降、易感冒、怕冷等较为常见;体征以精神不振、精神疲惫、面色萎黄、语音低怯、舌体胖、舌淡白、苔腻、脉细等较为常见;常见证型为肝郁脾虚(20.31%)、心脾两虚(16.49%)、脾虚湿阻(14.76%)、肝气郁结(11.98%)、肝肾阴虚(11.63%)、痰热内扰(8.07%)、肺脾气虚(7.99%)、肝郁化火(3.13%)。结论基于横断面调查,可初步确定上海市静安区教育和卫生工作者亚健康的中医症状、体征及基本证型分布,为中医药干预提供依据。
Objective To study the distribution characteristics of TCM basic syndromes in sub-healthy status. Methods Based on a clinical epidemiologic method, an epidemiological investigation in people working in the fields of education and health care in Jing＇ an District of Shanghai from Oct. to Dec., 2009 was conducted in order to conclude the main symptoms and basic syndrome characteristics of sub-health. Results Totally 1152 cases out of 1502 were in sub-healthy status. The most common symptoms of sub-healthy status were fatigue, fatigue that is not improved by bed rest, dizziness, dryness of eye, waist acerbity of eye, dry pharynx, memory difficulty, decreased food appetite, hypoposia, sweating, pain, negative feeling, tantrum, difficulty in falling asleep, early awakening, low-quality sleep, aneuria, drop in energy, frequent colds, and cold-blooded feeling; the most common physical signs were low spirits and neurolysis, sallow complexion, low voice, big body of tongue, pale tongue, greasy fur, and pulse breakdown; the most common syndrome types were qi-stagnation in liver with deficiency of spleen {20.31%）, deficiency of both heart and spleen （16.49%）, spleen asthenic fluid-retention （14.76%）, qi-depression in liver （11.98%）, hepatic and renal yin-deficiency （11.63%）, phlegm-heat attacking internally （8.07%）, qi-deficiency in liver and spleen （7.99%）, pathogenic fire derived from qi-stagnation in liver （3.13%）. Conclusion Based on this cross-sectional study, clinical manifestation and symptom types of sub-healthy status could be identified preliminarily, and the basis of treating sub-health with traditional Chinese medicine could be provided.
出处
《中国中医药信息杂志》
CAS
CSCD
2014年第10期15-18,共4页
Chinese Journal of Information on Traditional Chinese Medicine
基金
上海市静安区软科学研究项目(2009R007)
上海市静安区卫生系统学科建设项目(JWXK201206)
关键词
亚健康
证候
横断面研究
sub-health
syndrome type
cross-sectional study
