1005例亚健康患者中医体质分析及治未病干预措施

Abstract

目的：了解亚健康患者中医体质特点，并提出一套治未病健康干预措施。方法：选取2015年8月~2017年7月在本院治未病科就诊的1005例19~64岁亚健康体检者的资料，使用本课题组前期工作研制的《亚健康与中医体质调查问卷》进行流行病学调查，分析亚健康体检者中医体质分布特点。结果：1005例亚健康患者中处于单纯亚健康状态的有88.66%，与疾病共存的亚健康状态的有11.34%。平和体质占8.85%，判定为偏颇体质占91.15%，频数从高到低的顺序排序为：阳虚质 > 湿热质 > 气虚质 > 血瘀质 > 气郁质 > 阴虚质 > 痰湿质 > 特禀质。亚健康状态具有既可回归健康，也可进展为疾病的双向性转化特点；亚健康具有重叠的特性，与疾病之间能够互相重叠。亚健康患者多数为偏颇体质，并且存在一种以上体质属性，难以用单一种体质进行概括，复合体质现象普遍存在。结论：通过对亚健康状态人群的中医体质进行分类研究，掌握亚健康中医体质特点，将为系统化干预亚健康提供一定的指导作用。 Objective: To analyze the distribution characteristics of TCM constitutions of the sub-healthy pa-tients and seek for the effective TCM preventive treatments for those patients. Methods: The data of 1005 cases of sub-healthy out patients from August 2015 to July 2017 was collected. Then we ana-lyzed the distribution characteristics of TCM constitutions by their finished questionnaires for sub- health and traditional Chinese medicine constitution. Results: In 1005 cases of sub-healthy patients, 88.66% had pure sub-health state without any chronic diseases, yet 11.34% had sub-health state together with some diseases. In those 1005 cases, mild constitution accounted for 8.85%, the other belonged to unbalanced constitution. The incidence rate ranked from high to low as Yang deficiency, Damp-heat, Qi deficiency, Blood stasis, Qi stagnation, Yin deficiency, Phlegm wet and Special consti-tution. Sub-health state is bidirectional that it can recover to healthy state or deteriorate to disease. Sub-health patients usually accompany with diseases, most of them has the unbalanced constitution and had more than one kind of physical states. Conclusion: Know more about the characteristics of sub-health constitution of TCM and through the classification of TCM Constitution in sub-health pa-tients can help to seek for the effective preventive Treatments for those patients.